Active NPI
Dynamix Rehab LLC
- Physical Therapist
- Weston, FL
National Provider Identifier
1376626101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6463
- Legal business name
- DYNAMIX REHAB LLC
- Practice address
- 1440 Northpark Drive
Weston, FL 33326 - Phone
- (954) 385-3595
- Fax
- (954) 385-3596
- NPI assigned
- Oct 23, 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
- Mr. Robert D Jones, PT
- Title
- Owner
- Phone
- (954) 385-3595
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6463 | FL | Primary |
Addresses
Primary practice location
1440 Northpark Drive
Weston, FL 33326
Mailing address
1440 Northpark Drive
Weston, FL 33326
Phone (954) 385-3595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AI827 | Other | FL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
17180 Royal Palm Blvd
Ste 4
Weston, FL 33326
Phone (954) 385-3595
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Weston, FL
- NPI 1104825074
-
- Chiropractor
- Weston, FL
- NPI 1427025972
-
- Physical Therapist
- Weston, FL
- NPI 1245271972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231891200000",
"number": "1376626101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 NORTHPARK DRIVE",
"city": "WESTON",
"state": "FL",
"postal_code": "33326",
"telephone_number": "954-385-3595",
"fax_number": "954-385-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 NORTHPARK DRIVE",
"city": "WESTON",
"state": "FL",
"postal_code": "33326",
"telephone_number": "954-385-3595",
"fax_number": "954-385-3596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIX REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2009-01-14",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-385-3595",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT6463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AI827",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.