Dynamic Therapy & Rehabilitation Center

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR12543 Issued in FL

Legal business name

DYNAMIC THERAPY & REHABILITATION CENTER

Practice address

3964 NW 167TH St
Miami Gardens, FL 33054-6291

Phone

(305) 430-9499

Fax

(305) 574-0102

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Luis Alonzo Jr., OTRNPI 1760705909

Title

Administrator

Phone

(305) 316-4559

Specialties & licenses 3

Addresses

Other names 1

• Dynamic Therapy Center Other name

Locations

Practitioners 1

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

• Luis Alonzo Jr., OTR

  • Physical Rehabilitation Occupational Therapist
  • Miami, FL
  • NPI 1760705909
  NPD (past) Authorized official

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1497075758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST",
            "address_2": "SUITE A212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735431",
            "telephone_number": "786-401-6722",
            "fax_number": "786-401-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546291",
            "telephone_number": "305-430-9499",
            "fax_number": "305-574-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "ALONZO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-316-4559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT8785",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19241",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OTR12543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.