Dynamic Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

DYNAMIC THERAPY SERVICES LLC

Practice address

26396 Bay Farm Rd Unit 1
Millsboro, DE 19966-4993

Phone

(302) 947-9662

Fax

(302) 947-9692

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Penny Pearson

Title

RCM

Phone

(919) 258-2714

Specialties & licenses 2

Addresses

Other names 2

• Dynamic Physical Therapy Doing business as
• Pivot Physical Therapy of Mid Atlantic, LLC Doing business as

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1366969883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26396 BAY FARM RD UNIT 1",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664993",
            "telephone_number": "302-947-9662",
            "fax_number": "302-947-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "919-258-2714"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pivot Physical Therapy of Mid Atlantic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diya Patel Pharmacy LLC
• Amanda Dempsey Donaway, NURSE PRACTITIONER
• William Robert Doran, D.O.
• Dover Vision Centre LTD
• Mara Jeanine Driggers, DPT
• Eastern Podiatry LLC
• Ahmad Elayyan, MD
• Heather Eremita, APRN
• Rachel Ann Erixson, LPN
• Logan Esham, OTR L

• Occupational Therapist in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.