Dynamic Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC THERAPY SERVICES LLC

Doing business as

Pivot Physical Therapy of Mid Atlantic

Practice address

20930 Dupont Blvd Unit 102
Georgetown, DE 19947-1723

Phone

(302) 856-7462

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Tasheda Broughton, PESC

Title

Manager, Credentialing

Phone

(252) 248-3313

Specialties & licenses 1

Addresses

Other names 1

• Pivot Physical Therapy of Mid Atlantic Doing business as

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1497244230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "252-248-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD UNIT 102",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471723",
            "telephone_number": "302-856-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "TASHEDA",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "252-248-3313",
        "authorized_official_credential": "PESC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivot Physical Therapy of Mid Atlantic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorren Michael Donmoyer, M.D.
• David Dowling
• Dr Rita Zeidan, LLC
• Melinda Dubinski, LCSW
• Susan Claire Dunlap, RD, LDN
• Tracy L Dysard, NP
• Sally Marie Dziak, OTR
• Rachel Lynn Eaton
• Christine M. Eggert, SLP
• Donna Egolf

• Physical Therapist in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.