NPIMap

Organization Active NPI

Dynamic Physical Therapy & Rehabilitation Center LLC

  • Physical Therapist
  • Florence, SC
National Provider Identifier
1346334570
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2899 Issued in SC
Legal business name
DYNAMIC PHYSICAL THERAPY & REHABILITATION CENTER LLC
Practice address
123 S Cashua Dr
Florence, SC 29501-4001
Phone
(843) 292-1900
Fax
(843) 292-1902
NPI assigned
Oct 3, 2006
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mr. Marvin Salamanca Sto.Domingo, PT
Title
Director
Phone
(843) 292-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2899 SC Primary

Addresses

Primary practice location

123 S Cashua Dr
Florence, SC 29501-4001

Mailing address

PO Box 1864
Greenville, SC 29602-1864
Phone (843) 292-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1346334570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1864",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296021864",
            "telephone_number": "843-292-1900",
            "fax_number": "843-292-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S CASHUA DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014001",
            "telephone_number": "843-292-1900",
            "fax_number": "843-292-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "STO.DOMINGO",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "SALAMANCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-292-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.