Organization Active NPI

Dynamic Therapy Group, Inc.

  • Rehabilitation Hospital Unit
  • Oakland, CA
National Provider Identifier
1316298607
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
CA24632 Issued in CA
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

Updated by the provider on Sep 26, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.