Dynamic Rehab Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000001078 Issued in TN

Legal business name

DYNAMIC REHAB PHYSICAL THERAPY

Practice address

211 Commerce Dr
Suite 101
Smyrna, TN 37167-3024

Phone

(615) 459-9800

Fax

(615) 459-2500

NPI assigned

Dec 28, 2006

Last updated

Jul 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Essam Fathy, P.T.NPI 1417023854

Title

Owner

Phone

(615) 459-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Essam Fathy, R.P.T.

  • Physical Therapist
  • Murfreesboro, TN
  • NPI 1417023854
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1629134234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673024",
            "telephone_number": "615-459-9800",
            "fax_number": "615-459-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COMMERCE DR",
            "address_2": "SUITE 101",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673024",
            "telephone_number": "615-459-9800",
            "fax_number": "615-459-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "FATHY",
        "authorized_official_first_name": "ESSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-459-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000001078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3106299",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Dunn, MS-CCC-SLP
• Kneisha Chateau Denise Dunnigan
• Alma Duvnjak
• Dennis Vincent Dwyer, MA
• Brittany Dyer, LPC/MHSP
• E. Lauren McLean, Apn, LLC
• Loree Eaker
• Caleigh Edler, MA, LBA, BCBA
• Michelle Shake Edmonds, PHARMD
• Alexander Edwards, D.D.S.

• Physical Therapist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.