Dynamic Movement Physical Therapy and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DYNAMIC MOVEMENT PHYSICAL THERAPY AND WELLNESS

Practice address

122 Branch Blvd
Brick, NJ 08724-1822

Phone

(908) 627-3033

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Laura A Gibbons, PT, DPT, ATCNPI 1952544314

Title

Physical Therapist/Owner

Phone

(908) 627-3033

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Movement Physical Therapy and Wellness Other name

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.

• Laura A Gibbons, PT

  • Physical Therapist
  • Brick, NJ
  • NPI 1952544314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1295327740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRANCH BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241822",
            "telephone_number": "908-627-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRANCH BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241822",
            "telephone_number": "908-627-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MOVEMENT PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "908-627-3033",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Movement Physical Therapy and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlin Brianna Dunker
• Laura Dunn Beach
• Kristin E Dunn, D.M.D.
• Laura A Dweck, PA
• Jacob Dyckman, MD
• Dzibela Optometrists, LLC
• E. David Morgan (Monmouth / Ocean Medical Service for Women)
• Kent A Eagelton
• Prema Eapen, MD
• Ear Nose Throat and Facial Plastic Surgery Associates PC

• Physical Therapy Clinic/Center in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.