Dynamic Orthotic Services, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DYNAMIC ORTHOTIC SERVICES, INC

Doing business as

Dynamic Rehabilitative Orthotic & Prosthetic Services

Practice address

103 E Pinhook Rd
Lafayette, LA 70501-8531

Phone

(337) 291-1016

Fax

(337) 984-7403

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Sebastian Margaglio

Title

President

Phone

(337) 291-1016

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dynamic Rehabilitative Orthotic & Prosthetic Services Doing business as

Locations

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1457973554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018531",
            "telephone_number": "337-291-1016",
            "fax_number": "337-984-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E PINHOOK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018531",
            "telephone_number": "337-291-1016",
            "fax_number": "337-984-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ORTHOTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "MARGAGLIO",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-291-1016"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1187143",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Rehabilitative Orthotic & Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Rehabilitative Orthotic & Prosthetic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coy Durke II, PHARM D
• Danette Marie Duval, APRN-BC
• Michael Duval, MD
• Dyamic Neuromonitoring, LLC
• Kristen A. Dyck, PT
• Dynamic Orthotic Services, Inc.
• Kate Lynn Dzindzio
• E Plus Oncologics Louisiana LLC
• E. Paul Breaux III MD PMC
• E&JS Logistics & Hauling LLC

• Multi-Specialty Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.