Organization Active NPI

Dynamic Performance

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1568019735
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DYNAMIC PERFORMANCE
Practice address
9475 E Ironwood Square Dr
Scottsdale, AZ 85258-4576
Phone
(480) 778-1400
Fax
(480) 778-0400
NPI assigned
Aug 22, 2019
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Sabrina Wall
Title
Owner/Manager
Phone
(480) 748-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9475 E Ironwood Square Dr
Scottsdale, AZ 85258-4576

Mailing address

9393 N 90TH St
Scottsdale, AZ 85258-5040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1568019735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 N 90TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-778-1400",
            "fax_number": "480-778-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-748-1702"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.