NPIMap

Organization Active NPI

Dynamix Physical Therapy Inc.

  • Physical Therapist
  • Westminster, CA
National Provider Identifier
1538288204
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIX PHYSICAL THERAPY INC.
Practice address
8341 Westminster Blvd
Suite 201
Westminster, CA 92683-3306
Phone
(714) 891-2739
Fax
(714) 891-2747
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Mr. Andy Tran, P.T.NPI 1316078389
Title
Owner
Phone
(714) 891-2739

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8341 Westminster Blvd
Suite 201
Westminster, CA 92683-3306

Mailing address

14221 Euclid St Ste F
Garden Grove, CA 92843-4991
Phone (714) 891-2739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000544 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698854271 Receives reassigned benefits from 7 practitioners
Practice locations: Fountain Valley, CA; Garden Grove, CA; Irvine, CA

National Provider Directory

National Provider Directory

Locations

11190 Warner Ave
Ste 309
Fountain Valley, CA 92708
Phone (714) 891-2739

8070 Westminster Blvd
Ste D
Westminster, CA 92683

8341 Westminster Blvd
Ste 201
Westminster, CA 92683
Phone (714) 891-2706

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1538288204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 EUCLID ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991",
            "telephone_number": "714-891-2739",
            "fax_number": "714-891-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 WESTMINSTER BLVD",
            "address_2": "SUITE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833306",
            "telephone_number": "714-891-2739",
            "fax_number": "714-891-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIX PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-891-2739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.