Active NPI
Dynamic Therapy Group, Inc.
- Rehabilitation Hospital Unit
- Oakland, CA
National Provider Identifier
1316298607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- CA24632
- Legal business name
- DYNAMIC THERAPY GROUP, INC.
- Practice address
- 8100 Hansom Dr
Oakland, CA 94605-4211 - Phone
- (559) 916-4720
- NPI assigned
- Sep 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Antonio Kaparaz Rodriguez III, PT
- Title
- Ceo
- Phone
- (559) 916-4720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | CA24632 | CA | Primary |
Addresses
Primary practice location
8100 Hansom Dr
Oakland, CA 94605-4211
Mailing address
8100 Hansom Dr
Oakland, CA 94605-4211
Phone (559) 916-4720
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348617600000",
"number": "1316298607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 HANSOM DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946054211",
"telephone_number": "559-916-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 HANSOM DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946054211",
"telephone_number": "559-916-4720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC THERAPY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "KAPARAZ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-916-4720",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "CA",
"license": "CA24632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.