Organization Active NPI

Dynamic Therapy & Wellness Services,Inc.

  • Physical Therapy Clinic/Center
  • Ocala, FL
National Provider Identifier
1366536864
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DYNAMIC THERAPY & WELLNESS SERVICES,INC.
Practice address
13795 SW 36TH Avenue Rd Ste 1
Ocala, FL 34473-6104
Phone
(352) 414-9251
Fax
(833) 892-0509
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Dr. Stella H. Nemuseso, DPT
Title
President/Director
Phone
(352) 414-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

13795 SW 36TH Avenue Rd Ste 1
Ocala, FL 34473-6104

Mailing address

13795 SW 36TH Avenue Rd Ste 1
Ocala, FL 34473-6104
Phone (352) 693-5367

Other names 1

  • Dynamic Lifestyle Institute Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.dtaws.com
Other URL 8338920509 Health Information Exchange (HIE)
CONNECT URL info@dtaws.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1366536864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13795 SW 36TH AVENUE RD STE 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344736104",
            "telephone_number": "352-693-5367",
            "fax_number": "833-892-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13795 SW 36TH AVENUE RD STE 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344736104",
            "telephone_number": "352-414-9251",
            "fax_number": "833-892-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY & WELLNESS SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "NEMUSESO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "352-414-9251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dtaws.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "13795 SW 36th Avenue Rd Ste 1",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344736104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8338920509",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13795 SW 36th Avenue Rd Ste 1",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344736104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@dtaws.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13795 SW 36th Avenue Rd Ste 1",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344736104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dynamic Lifestyle Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.