Organization Active NPI

Dynamic Therapy & Wellness Services,Inc.

Doing business as Dynamic Lifestyle Institute

  • 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.
Doing business as
Dynamic Lifestyle Institute
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
Last updated
Mar 14, 2025By the provider in NPPES
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, DPTNPI 1932307857
Title
President/Director
Phone
(352) 414-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

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": "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.