Active NPI
Dynamic Therapy & Wellness Services,Inc.
- Physical Therapy Clinic/Center
- Ocala, FL
National Provider Identifier
1366536864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.dtaws.com | ||
| Other URL | 8338920509 | Health Information Exchange (HIE) | |
| CONNECT URL | info@dtaws.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.