Organization Active NPI

Dynamic Pediatric Therapy, Inc.

  • Clinic/Center
  • Ocala, FL
National Provider Identifier
1487888046
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DYNAMIC PEDIATRIC THERAPY, INC.
Doing business as
Dynamic Therapy
Practice address
35 SE 1St Ave Ste 200-41
Ocala, FL 34471-2176
Phone
(800) 989-8080
Fax
(888) 527-9778
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Ileana MartinezNPI 1275787566
Title
President
Phone
(800) 989-8080

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

35 SE 1St Ave Ste 200-41
Ocala, FL 34471-2176

Mailing address

35 SE 1St Ave Ste 200-41
Ocala, FL 34471-2176
Phone (800) 989-8080

Other identifiers 1

IdentifierTypeStateIssuer
001392900MedicaidFL

Other names 1

  • Dynamic Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ileana@dynamicpediatric.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200529002075 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779904784 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL

National Provider Directory

National Provider Directory

Locations

15600 SW 288th St
Ste 202
Homestead, FL 33033
Phone (305) 242-9424

35 SE 1st Ave
Ste 20041
Ocala, FL 34471
Phone (800) 989-8080

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1487888046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SE 1ST AVE STE 200-41",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712176",
            "telephone_number": "800-989-8080",
            "fax_number": "888-527-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SE 1ST AVE STE 200-41",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712176",
            "telephone_number": "800-989-8080",
            "fax_number": "888-527-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-989-8080"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001392900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ileana@dynamicpediatric.com",
            "affiliation": "N",
            "address_1": "35 SE 1st Ave Ste 200-41",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344712176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dynamic Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dynamic Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.