Organization Active NPI

Dynamic Therapy Services LLC

  • Physical Therapist
  • Ocean City, MD
National Provider Identifier
1457728255
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC THERAPY SERVICES LLC
Practice address
12216 Ocean Gtwy
Unite 1200
Ocean City, MD 21842-9790
Phone
(410) 390-5912
Fax
(410) 390-5916
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Penny Pearson
Title
RCM
Phone
(919) 258-2714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

12216 Ocean Gtwy
Unite 1200
Ocean City, MD 21842-9790

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665

Other names 1

  • Pivot Physical Therapy of Mid Atlantic LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1457728255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12216 OCEAN GTWY",
            "address_2": "UNITE 1200",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429790",
            "telephone_number": "410-390-5912",
            "fax_number": "410-390-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "919-258-2714"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivot Physical Therapy of Mid Atlantic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pivot Physical Therapy of Mid Atlantic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.