Organization Active NPI

Dynamic Therapy Solutions Inc.

  • Rehabilitation Clinic/Center
  • Woodland, CA
National Provider Identifier
1366751000
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
006778 Issued in CA
Legal business name
DYNAMIC THERAPY SOLUTIONS INC.
Practice address
135 Woodland Ave
Woodland, CA 95695-2701
Phone
(916) 532-4899
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Shawn Mikel Fitzpatrick, MPT
Title
President
Phone
(916) 532-4899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 006778 CA Primary

Addresses

Primary practice location

135 Woodland Ave
Woodland, CA 95695-2701

Mailing address

4605 W Imperial View CT
Rocklin, CA 95677-4492
Phone (916) 532-4899

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1366751000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 W IMPERIAL VIEW CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774492",
            "telephone_number": "916-532-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WOODLAND AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952701",
            "telephone_number": "916-532-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MIKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-532-4899",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "006778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.