NPIMap

Organization Active NPI

Dynamic Rehab Group LLC

Doing business as Dynamic Children Therapy Services

  • Rehabilitation Clinic/Center
  • Pharr, TX
National Provider Identifier
1356654461
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
DYNAMIC REHAB GROUP LLC
Doing business as
Dynamic Children Therapy Services
Practice address
6201 S Cage Blvd
Ste. 3
Pharr, TX 78577-5612
Phone
(956) 283-9832
Fax
(956) 283-9834
NPI assigned
Jul 17, 2010
Last updated
Sep 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Perla E. TamezNPI 1770740474
Title
Ceo/Owner
Phone
(956) 683-7770

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU

Addresses

Primary practice location

6201 S Cage Blvd
Ste. 3
Pharr, TX 78577-5612

Mailing address

300 S 2ND St
McAllen, TX 78501-2702
Phone (956) 688-5781

Other names 1

  • Dynamic Children Therapy Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100806000676 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3476686759 Practice locations: Edinburg, TX; Mission, TX; Pharr, TX

National Provider Directory

National Provider Directory

Locations

1126 W Monte Cristo Rd
Edinburg, TX 78541
Phone (956) 383-1244

300 S 2nd St
McAllen, TX 78501
Phone (956) 537-6827

212 W 18th St
Mission, TX 78572
Phone (956) 213-9400

2605 W Mile 5 Rd
Mission, TX 78574
Phone (956) 581-0987

105 S Cesar Chavez Rd
Ste 6
San Juan, TX 78589
Phone (956) 683-7770

105 S Cesar Chavez Rd
Ste 7
San Juan, TX 78589
Phone (956) 683-7770

515 E Expressway 83
Weslaco, TX 78599
Phone (956) 683-7770

Practitioners & affiliated clinicians

Practitioners 9

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": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1356654461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 2ND ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012702",
            "telephone_number": "956-688-5781",
            "fax_number": "956-688-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 S CAGE BLVD",
            "address_2": "STE. 3",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775612",
            "telephone_number": "956-283-9832",
            "fax_number": "956-283-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "TAMEZ",
        "authorized_official_first_name": "PERLA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "956-683-7770"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Children Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Children Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.