Organization Active NPI

Dynamic Rehab Services LLC

  • Rehabilitation Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1285277392
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
DYNAMIC REHAB SERVICES LLC
Practice address
1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215
Phone
(561) 573-6667
Fax
(561) 658-0215
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Mr. John Franics Kennedy, OTR/L MOTNPI 1699948182
Title
Manager
Phone
(561) 714-7332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215

Mailing address

1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215
Phone (561) 573-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200327000532 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4789016155 Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1285277392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 N CONGRESS AVE STE 9",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268215",
            "telephone_number": "561-573-6667",
            "fax_number": "561-658-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 N CONGRESS AVE STE 9",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268215",
            "telephone_number": "561-573-6667",
            "fax_number": "561-658-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANICS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-714-7332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L MOT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.