Mark Dynan, PT, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11208 Issued in MA

Practice address

16 Hayden Avenue
Lahey Lexington
Lexington, MA 02421-7929

Phone

(781) 372-7060

Fax

(781) 372-7069

NPI assigned

Nov 2, 2010

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

HD Physical Therapy LLCGroup PAC ID 4789845991, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HD Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wakefield, MA
  • NPI 1629342977

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Byron V Hartunian MD PC

  • Specialist
  • Cambridge, MA
  • NPI 1568554475
  NPD (past)
• McGovern Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Malden, MA
  • NPI 1043200330

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1255631545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAYDEN AVENUE",
            "address_2": "LAHEY LEXINGTON",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217929",
            "telephone_number": "781-372-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAYDEN AVENUE",
            "address_2": "LAHEY LEXINGTON",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217929",
            "telephone_number": "781-372-7060",
            "fax_number": "781-372-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYNAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110094351A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Dutton
• Dylan Dyer, DC
• Clayton Dykstra
• Colleen Dykstra
• Dylan J Dyer
• Eagle Endodontics, Inc
• Sandra Carol Eaton, M.A., L.M.H.C.
• Anna Ebersole
• Jane W Eckert, MSW
• Alleana Edwardsmiller

• Physical Therapist in Lexington, MA
• Providers in Lexington, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.