Dynamic Care PT, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00766400 Issued in NJ

Legal business name

DYNAMIC CARE PT, P.C.

Practice address

1625 Kennedy Blvd
North Bergen, NJ 07047-6302

Phone

(201) 558-0808

Fax

(201) 558-0877

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Warren Borres, P.T.NPI 1467590026

Title

President / Physical Therapist

Phone

(201) 558-0808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Warren Borres, P.T.

  • Physical Therapist
  • North Bergen, NJ
  • NPI 1467590026
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1285966093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GREYHOUND CT",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241492",
            "telephone_number": "201-558-0808",
            "fax_number": "201-558-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476302",
            "telephone_number": "201-558-0808",
            "fax_number": "201-558-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CARE PT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "BORRES",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-558-0808",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00766400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.