Dynamic Physical Therapy & Rehabilitation Center LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2466 Issued in SC

Legal business name

DYNAMIC PHYSICAL THERAPY & REHABILITATION CENTER LLC

Practice address

2307 E Highway 76
Marion, SC 29571-6351

Phone

(843) 423-4888

Fax

(843) 423-4849

NPI assigned

Oct 3, 2006

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Salamanca Sto.Domingo, PT

Title

President

Phone

(843) 910-4093

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1376637454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1864",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296021864",
            "telephone_number": "864-331-0919",
            "fax_number": "864-331-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 E HIGHWAY 76",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716351",
            "telephone_number": "843-423-4888",
            "fax_number": "843-423-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "STO.DOMINGO",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "SALAMANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-910-4093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Marion, SC
• Providers in Marion, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.