Physical Therapy Dynamics

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23974 Issued in CA

Legal business name

PHYSICAL THERAPY DYNAMICS

Practice address

2413 W Cleveland Ave
Suite 102
Madera, CA 93637-4953

Phone

(559) 674-5100

Fax

(559) 674-5900

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Staci Danette Martines

Title

Manager

Phone

(559) 674-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316976020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 W CLEVELAND AVE",
            "address_2": "SUITE 102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374953",
            "telephone_number": "559-674-5100",
            "fax_number": "559-674-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 W CLEVELAND AVE",
            "address_2": "SUITE 102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374953",
            "telephone_number": "559-674-5100",
            "fax_number": "559-674-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINES",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "DANETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-674-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmkee, Inc. (Yosemite Drug)
• Ashley A Phillips, PH.D.
• Cheyne V Phillips, ASW
• Karen K Philp, CRNA
• Saengdao Phonxaylinkham
• Matthew Edward Pia, D.D.S.
• James Pierce, MD
• Jeffrey Thomas Pietz, MD
• Jennifer Grisel Pimentel-Sanchez
• Luis Pimentel

• Physical Therapist in Madera, CA
• Providers in Madera, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.