Active NPI
Dynamic Physical Therapy Services Inc
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Orlando, FL
National Provider Identifier
1255646956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- DYNAMIC PHYSICAL THERAPY SERVICES INC
- Practice address
- 5740 Old Cheney Hwy
Orlando, FL 32807-3525 - Phone
- (407) 601-4902
- Fax
- (407) 601-6977
- NPI assigned
- Aug 18, 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
- Mr. Jesus E Alfonso
- Title
- President
- Phone
- (786) 287-5041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
5740 Old Cheney Hwy
Orlando, FL 32807-3525
Mailing address
5740 Old Cheney Hwy
Orlando, FL 32807-3525
Phone (407) 601-4902
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1255646956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5740 OLD CHENEY HWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073525",
"telephone_number": "407-601-4902",
"fax_number": "407-601-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 OLD CHENEY HWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073525",
"telephone_number": "407-601-4902",
"fax_number": "407-601-6977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC PHYSICAL THERAPY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "ALFONSO",
"authorized_official_first_name": "JESUS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-287-5041",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.