Dynamic Abilities Pediatric Therapy: Occupational and Physical Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

DYNAMIC ABILITIES PEDIATRIC THERAPY: OCCUPATIONAL AND PHYSICAL THERAPY

Practice address

950 Boardwalk Ste 204
San Marcos, CA 92078-2600

Phone

(760) 383-3278

Fax

(760) 502-1474

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Donna Marmolejo, PT, DPTNPI 1467534511

Title

President/Chief Executive Officer

Phone

(760) 383-3278

Specialties & licenses 2

Addresses

Other names 1

• DAP Therapy Doing business as

Locations

Practitioners 2

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

• Donna Marmolejo, DPT

  • Pediatric Physical Therapist
  • San Marcos, CA
  • NPI 1467534511

  Pediatrics

  NPD Authorized official
• Alyssa Belle Cantal-Czegledy, OTD, OTR/L, BCP

  • Pediatric Occupational Therapist
  • San Marcos, CA
  • NPI 1831645571

  Pediatrics

  NPD

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1508555970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BOARDWALK STE 204",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782600",
            "telephone_number": "760-383-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BOARDWALK STE 204",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782600",
            "telephone_number": "760-383-3278",
            "fax_number": "760-502-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ABILITIES PEDIATRIC THERAPY: OCCUPATIONAL AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "MARMOLEJO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-383-3278",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAP Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Anne Dutart, MFT
• Elizabeth Dutcher, LMFT
• Marissa Lynn Dvorscak, MS, LMFT
• Claire Marie Dyer
• Jordyn Raye Dykeman
• Tamatha K Earnhart, LMFT, ATR
• Lynette Elizabeth Easler-Silva, NURSE PRACTITIONER
• Jason Alan Edwards, DC
• Janna Lee Ekholm, CMW
• Ghassan El Khoury

• Pediatric Physical Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.