Dynamic Physio Therapy Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DYNAMIC PHYSIO THERAPY SERVICES, LLC

Practice address

1110 Pine Ridge Rd Ste 204
Naples, FL 34108-8927

Phone

(239) 919-7139

Fax

(833) 876-8887

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 2020By 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. Christopher S Ellis, DPTNPI 1194157552

Title

Owner

Phone

(239) 919-7139

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher S Ellis, PT, DPT

  • Physical Therapist
  • Naples, FL
  • NPI 1194157552
  NPD Authorized official

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1336774967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 16TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341174319",
            "telephone_number": "239-919-7139",
            "fax_number": "833-876-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PINE RIDGE RD STE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088927",
            "telephone_number": "239-919-7139",
            "fax_number": "833-876-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSIO THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-919-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pteverywhere.com/",
            "affiliation": "N",
            "endpointDescription": "PTeverywhere software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1110 Pine Ridge Rd Ste 204",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341088927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maximilian Dyal, DPT
• Dorothy Kay Dycus, B.S.N. A.R.N.P.
• Diana Dyer, CNM
• Ian Dyer, APRN
• Dynamic Health Alliance
• Klaudia Dzmurova, LMHC
• E Sean Kelley MD LLC
• E.Y Positive Behavior, Inc
• Allenscott W Eacker, PA
• Bonny L. Eads, O.D.

• Physical Therapy Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.