NPIMap

Organization Active NPI

Dynamic Flow

  • Physical Therapist
  • Broussard, LA
National Provider Identifier
1356033427
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC FLOW
Practice address
1431 Old Spanish Trail Hwy Lot 4
Broussard, LA 70518-8128
Phone
(337) 321-0010
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Dameian LewisNPI 1609568450
Title
Owner
Phone
(337) 321-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1431 Old Spanish Trail Hwy Lot 4
Broussard, LA 70518-8128

Mailing address

1431 Old Spanish Trail Hwy Lot 4
Broussard, LA 70518-8128
Phone (337) 321-0010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1356033427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OLD SPANISH TRAIL HWY LOT 4",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705188128",
            "telephone_number": "337-321-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OLD SPANISH TRAIL HWY LOT 4",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705188128",
            "telephone_number": "337-321-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC FLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAMEIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-321-0010"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.