Dynakinetics PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

031185 Issued in NY

Legal business name

DYNAKINETICS PT PC

Practice address

11605 Myrtle Ave
Richmond Hill, NY 11418-1749

Phone

(718) 850-7100

Fax

(718) 850-7200

NPI assigned

Apr 9, 2015

Last updated

Apr 9, 2015By 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. Vincent Andry M Villanueva, DPTNPI 1255632980

Title

Physical Therapist

Phone

(917) 645-3620

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Vincent Andry Villanueva, PT

  • Physical Therapist
  • Briarwood, NY
  • NPI 1255632980
  NPD (past) Authorized official

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1386030062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 VAN WYCK EXPY APT 3J",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352611",
            "telephone_number": "917-645-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181749",
            "telephone_number": "718-850-7100",
            "fax_number": "718-850-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAKINETICS PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "VINCENT ANDRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-645-3620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "031185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dovnarsky, M.D.
• DSST Pharmacy Corp. (RX Spress Pharmacy)
• Joshua Duncan, MBBS
• Lisle Duplan, NP
• Shaina Dupuy
• E. Sholom Inc.
• E.Sholom Inc.
• Deandre Eccles
• Joseph Peter Edde
• Saad Ehsan Ullah, MD

• Physical Therapy Clinic/Center in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.