NPIMap

Organization Active NPI

Dynamic Physical Therapy, Inc

Doing business as Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Morgantown, WV
National Provider Identifier
1487647004
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC PHYSICAL THERAPY, INC
Doing business as
Fyzical Therapy and Balance Centers
Practice address
3411 University Ave Suite 1
Morgantown, WV 26505-7240
Phone
(304) 598-2212
Fax
(304) 598-2258
NPI assigned
Aug 30, 2005
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Mr. Lincoln Nathaniel Kinkade, PTNPI 1083608202
Title
Owner
Phone
(304) 598-2212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3411 University Ave Suite 1
Morgantown, WV 26505-7240

Mailing address

3411 University Ave Suite 1
Morgantown, WV 26505-7240
Phone (304) 598-2212

Other practice location 1

3227 Earl L Core Rd
Morgantown, WV 26508-9589
Phone (304) 225-0910

Other identifiers 2

IdentifierTypeStateIssuer
3810002407MedicaidWV
09043124OtherBCBS

Other names 1

  • Fyzical Therapy and Balance Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000662 WV Part B Supplier - Clinic/Group Practice 8224934708 Receives reassigned benefits from 11 practitioners
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

1065 Greenbag Rd
Morgantown, WV 26508
Phone (304) 441-0696

3227 Earl L Core Rd
Morgantown, WV 26508
Phone (304) 225-0910

3227 Earl L Core Rd
Ste 710
Morgantown, WV 26508
Phone (304) 225-0910

3411 University Ave
Ste 1
Morgantown, WV 26505
Phone (304) 598-2212

4 Eastgate Plz
Morgantown, WV 26508
Phone (304) 225-0910

746 Fairmont Rd
Westover, WV 26501
Phone (304) 225-5222

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1487647004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 UNIVERSITY AVE SUITE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057240",
            "telephone_number": "304-598-2212",
            "fax_number": "304-598-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 UNIVERSITY AVE SUITE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057240",
            "telephone_number": "304-598-2212",
            "fax_number": "304-598-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3227 Earl L Core Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265089589",
            "country_code": "US",
            "telephone_number": "304-225-0910",
            "fax_number": "304-225-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "KINKADE",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-598-2212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002407",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09043124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.