Dynamic Medical Center, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DYNAMIC MEDICAL CENTER, LLC

Practice address

1395 Cross Creek Cir
Tallahassee, FL 32301-3729

Phone

(850) 402-9060

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Elton Stero Powell Jr., DCNPI 1235414764

Title

President

Phone

(850) 402-9060

Specialties & licenses 1

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.

• Elton Powell Jr., D.C.

  • Chiropractor
  • Tallahassee, FL
  • NPI 1235414764
  Medicare reassignment NPD Authorized official
• Jonathan Aaron Bussey, NP

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1750758132
  Medicare reassignment NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1487246781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-402-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "STERO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-402-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Renal Healthcare, Inc.
• Linda M Dwinell, L.C.S.W.
• Shashikala Dwivedi, P.A.
• Joyce Meta Dwyer, ARNP
• Peri Lynn Dwyer, DC DICCP
• Dynamic Rehab LLC
• Dynamic Spine and Wellness Center
• Dynamic Wellness Counseling & Consulting, LLC
• Dysphagia Consulting Group, LLC
• Kaycie Dziedzicki, PT, DPT

• Physical Medicine & Rehabilitation Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.