Dynamism Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

028810 Issued in NY

Legal business name

DYNAMISM THERAPY, INC.

Practice address

4035 191St St Apt 1
Flushing, NY 11358-2820

Phone

(908) 922-5762

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ninopompeyoroco Altamirano Borja, PT, DPT

Title

President

Phone

(908) 922-5762

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1275933905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 191ST ST APT 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 191ST ST APT 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582820",
            "telephone_number": "908-922-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMISM THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "NINOPOMPEYOROCO",
        "authorized_official_middle_name": "ALTAMIRANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-922-5762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eagle Day Care Inc
• Eagle Homecare Agency,Inc

• Physical Therapy Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.