Dynamic Duo PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC DUO PT LLC

Practice address

4065 N Haverhill Rd Ste B4
West Palm Beach, FL 33417-7439

Phone

(561) 563-2828

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Angela Mason, DPT, OTR/LNPI 1790140895

Title

Physical Therapist/Owner

Phone

(561) 563-2828

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Angela Mason, DPT/OT

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1790140895
  Medicare reassignment Care Compare group NPD Authorized official
• Tyre Artencia Patterson, DPT

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1194121087
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1457960551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 N HAVERHILL RD STE B4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334177439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 N HAVERHILL RD STE B4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334177439",
            "telephone_number": "561-563-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DUO PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "561-563-2828",
        "authorized_official_credential": "DPT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilsaint Duverseau
• Brielle Dyall, APRN
• Kristina Lee Dygulski, LMHC
• Forrest Taylor Dykes, LMHC
• Mary Rebecca Dymond, LMHC
• Dynamic Health and Performance, LLC
• Dynamic PT and Rehab LLC
• Dynamic Steps Therapy
• E & T Pharmacy LLC (Coastal Compounding Pharmacy)
• E-Lab Rapid Results

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.