Dynamic Rehab Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006945 Issued in MI

Legal business name

DYNAMIC REHAB SERVICES INC

Practice address

16904 W Warren Ave
Detroit, MI 48228-3505

Phone

(313) 945-5926

Fax

(734) 451-0603

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Mustafa Manzur, RPT

Title

Owner

Phone

(248) 727-4322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1336458876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34909 BUNKER HILL DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313285",
            "telephone_number": "248-727-4322",
            "fax_number": "734-451-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16904 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283505",
            "telephone_number": "313-945-5926",
            "fax_number": "734-451-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "MANZUR",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-727-4322",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Dye
• Tanjanique Dye, DIRECT CARE WORKER
• Tanya Dye, MSW, LLMSW
• Alexander James-Robert Dyke, DMD
• Dynamic Care Group LLC
• Dynamic Teaching
• Dynasty Physical Therpay and Rehabilitation, PC
• Dynasty Senior Center
• Casandra Dysard
• Malgorzata Dziadkowiec

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.