Dynamic Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10695 Issued in FL

Legal business name

DYNAMIC THERAPY INC

Practice address

4734 Exploration Ave
Lakeland, FL 33812-3319

Phone

(863) 648-2333

Fax

(863) 648-2888

NPI assigned

Nov 7, 2006

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bernadette Chua Ocampos, RPTNPI 1356564256

Title

Vice-President

Phone

(863) 648-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernadette Chua Ocampos, RPT

  • Physical Therapist
  • Lakeland, FL
  • NPI 1356564256
  NPD (past) Authorized official
• Elsa K Nail, P.T.

  • Physical Therapist
  • Lakeland, FL
  • NPI 1417933227
  NPD (past)
• Rodrigo Ricci Ocampos, RPT

  • Physical Therapist
  • Lakeland, FL
  • NPI 1083837991
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1316016801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-648-2333",
            "fax_number": "863-648-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-648-2333",
            "fax_number": "863-648-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "OCAMPOS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "CHUA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "863-648-2333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y8050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Gordian Dwyer, LMHC
• Kaitlyn Dwyer, OD
• Abigail C. Dy, PT, DPT
• Terri Dyer
• Dynamic Home Health Care Service LLC (Dynamic Home Care Service)
• Dynamiks Home Care Inc
• E & M Medical Group PA
• Jennifer Eady, LDO
• Eagle Lake Pharmacy Inc (Eagle Lake Pharmacy)
• Eagle Pharmacy LLC (Ryaltris Direct)

• Physical Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.