Dynamic Physical Therapy at Home FL LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC PHYSICAL THERAPY AT HOME FL LLC

Doing business as

Dynamic Physical Therapy and Sports Rehabilitation

Practice address

10807 Royal Palladium PL
Boynton Beach, FL 33436-5068

Phone

(201) 564-7515

Fax

(201) 564-7514

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Christopher Mercado, PHYSICAL THERAPIST

Title

Managing Director

Phone

(201) 757-0669

Specialties & licenses 2

Addresses

Other names 1

• Dynamic Physical Therapy and Sports Rehabilitation Doing business as

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1487406401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LIVINGSTON ST STE 108",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471739",
            "telephone_number": "201-564-7515",
            "fax_number": "201-564-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 ROYAL PALLADIUM PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334365068",
            "telephone_number": "201-564-7515",
            "fax_number": "201-564-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY AT HOME FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "201-757-0669",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "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": [
        {
            "organization_name": "Dynamic Physical Therapy and Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Boynton Beach, FL
• Providers in Boynton 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 Apr 3, 2024; 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.