Active NPI
Dynamic Rehab Solutions, LLC
- Physical Therapist
- Decatur, GA
National Provider Identifier
1235469438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008440
- Legal business name
- DYNAMIC REHAB SOLUTIONS, LLC
- Practice address
- 1917 Manhattan Pkwy
Decatur, GA 30035-2244 - Phone
- (404) 386-5655
- NPI assigned
- Jan 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ogechukwu Charles Okoli
- Title
- Ceo
- Phone
- (404) 343-3513
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008440 | GA | Primary |
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1917 Manhattan Pkwy
Decatur, GA 30035-2244
Mailing address
1917 Manhattan Pkwy
Decatur, GA 30035-2244
Other names 1
- Dynamic Rehabilitaion Solutions, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263168000000",
"number": "1235469438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 MANHATTAN PKWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300352244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 MANHATTAN PKWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300352244",
"telephone_number": "404-386-5655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC REHAB SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A",
"authorized_official_last_name": "OKOLI",
"authorized_official_first_name": "OGECHUKWU",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-343-3513",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008440",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dynamic Rehabilitaion Solutions, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.