Dynamic Rehabilitation Consultants Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DYNAMIC REHABILITATION CONSULTANTS INC

Practice address

4401 Union St
Johnstown, CO 80534-2800

Phone

(970) 619-3400

NPI assigned

Feb 18, 2020

Last updated

Jan 3, 2024By 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

Dr. Philip A Witek, MD

Title

Owner

Phone

(970) 619-3400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1316570310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 DOGWOOD CIR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167946",
            "telephone_number": "970-619-3497",
            "fax_number": "818-671-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 UNION ST",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342800",
            "telephone_number": "970-619-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHABILITATION CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "WITEK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-619-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DR.0061737",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Annette Dickinson, APRN
• Edward Jeffrey Donner, MD
• Deborah Corinne Douglas, MS
• Dr Revelyn G Arrogante MD a Professional Corporation
• Kevin Duong, PHARM.D
• Kimberly Eisenbach, FNP-BC, AGACNP-BC
• Jared Error, DMD, MBA
• Family Physicians of Greeley, LLP
• Lana Elaine Fanson, CCC-SLP
• Kristyn Evelyn Farris, LCSW

• Physical Medicine & Rehabilitation Physician in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.