Dynamic Physiotherapy Services Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC PHYSIOTHERAPY SERVICES CORP

Practice address

4601 W 103Rd St
Oak Lawn, IL 60453-4718

Phone

(708) 422-3422

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Witold Mierzwa, LPTNPI 1730254004

Title

Owner

Phone

(773) 354-3063

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Witold Jan Mierzwa, PT

  • Physical Therapist
  • Merrionette Park, IL
  • NPI 1730254004
  Medicare reassignment Care Compare group NPD Authorized official
• Magdalena Maria Pajak, PT, DPT

  • Physical Therapist
  • Oak Lawn, IL
  • NPI 1154157790
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1497090302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S ADAMS ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592206",
            "telephone_number": "773-354-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534718",
            "telephone_number": "708-422-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSIOTHERAPY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "MIERZWA",
        "authorized_official_first_name": "WITOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-354-3063",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Durkin, D.D.S.
• Harun Durudogan, D.O.
• Jaclyn A Dusing, OTR/L
• Dennis John Dwyer, DDS
• Dawid F Dymon, PHARMD
• Courtney Odelson Dynes, DPT
• Haris Dzubur, O.D.
• Colin Eash, DO
• Jade A Eastling
• Easy Bliss Corporation Dba Noble Home Care

• Physical Therapist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.