Dynamic Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC THERAPY SERVICES LLC

Practice address

305 N Union St Ste 101
Wilmington, DE 19805-3431

Phone

(302) 778-0810

Fax

(302) 778-0812

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Tasheda Broughton, PESC

Title

Manager, Credentialing

Phone

(252) 248-3313

Specialties & licenses 1

Addresses

Other names 2

• Dynamic Physical Therapy Doing business as
• Pivot Physical Therapy of Mid Atlantic, LLC Doing business as

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1255858775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "252-248-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N UNION ST STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053431",
            "telephone_number": "302-778-0810",
            "fax_number": "302-778-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "TASHEDA",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "252-248-3313",
        "authorized_official_credential": "PESC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pivot Physical Therapy of Mid Atlantic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald E Dworkin, D.O.
• Travis J Dwyer, D.P.M
• Ashley Dyck, MD
• Dyer Medical Clinic
• Dynamic Industrial Solutions, LLC
• Dynamic Therapy Services LLC
• Dynamic Therapy Services LLC
• Nineka Dyson, LPCMH, NCC
• J Michael Dzuba, M.S.W.
• E J Hertzfeld DDS PA

• Physical Therapist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.