NPIMap

Organization Active NPI

Dynamic Physical and Hand Therapy Inc

  • Physical Therapy Clinic/Center
  • Camarillo, CA
National Provider Identifier
1376754051
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
28530 Issued in CA
Legal business name
DYNAMIC PHYSICAL AND HAND THERAPY INC
Practice address
500 Paseo Camarillo
#105
Camarillo, CA 93010-5900
Phone
(805) 987-6851
Fax
(805) 987-8045
NPI assigned
May 24, 2007
Last updated
Apr 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Daniel Morgan Johnston, PTNPI 1891727137
Title
President/Physical Therapist
Phone
(805) 987-6851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 28530 CA Primary

Addresses

Primary practice location

500 Paseo Camarillo
#105
Camarillo, CA 93010-5900

Mailing address

500 Paseo Camarillo
#105
Camarillo, CA 93010-5900
Phone (805) 987-6851

National Provider Directory

National Provider Directory

Locations

500 Paseo Camarillo
#105
Camarillo, CA 93010
Phone (805) 485-8709

500 Paseo Camarillo
Ste 105
Camarillo, CA 93010
Phone (805) 987-6851

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1376754051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PASEO CAMARILLO",
            "address_2": "#105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105900",
            "telephone_number": "805-987-6851",
            "fax_number": "805-987-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PASEO CAMARILLO",
            "address_2": "#105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105900",
            "telephone_number": "805-987-6851",
            "fax_number": "805-987-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL AND HAND THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-987-6851",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "28530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.