Dynamix Rehabilitation Services, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013646 Issued in IL

Legal business name

DYNAMIX REHABILITATION SERVICES, INC.

Practice address

3206 RFD
Long Grove, IL 60047-8352

Phone

(847) 452-3403

Fax

(847) 745-0546

NPI assigned

Jan 10, 2010

Organization subpart

No

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

Authorized official

Name

Marina Ardashnikova, M.D.

Title

Vice President

Phone

(847) 736-9254

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263081600000",
    "number": "1437489796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478352",
            "telephone_number": "847-452-3403",
            "fax_number": "847-745-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 RFD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478352",
            "telephone_number": "847-452-3403",
            "fax_number": "847-745-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIX REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-10",
        "last_updated": "2010-01-10",
        "status": "A",
        "authorized_official_last_name": "ARDASHNIKOVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-736-9254",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Lee Demars, DDS
• Angela Rose Depa
• Daniel R. Di Iorio, MD, DC
• Donna Digloria, APN
• Dr Elizabeth Fazio & Associates, LLC
• Margarita Ekelman, MBA, RDN, LDN
• Kirk Wayne Erickson, PSY.D.
• Heidy Hwang Evans
• Shakeema Alexandra Facey, ARNP
• Fairbanks, LLC

• Physical Therapist in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2010; 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.