Organization Active NPI

Dynamic Chiropractic and Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Clinton, NY
National Provider Identifier
1629603881
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DYNAMIC CHIROPRACTIC AND PHYSICAL THERAPY PLLC
Practice address
7883 Seneca Turnpike, Clinton
Clinton, NY 13323
Phone
(315) 404-4782
Fax
(315) 282-2337
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Rose Velasquez
Title
Administrator
Phone
(201) 641-2125

Specialties & licenses 1

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

Addresses

Primary practice location

7883 Seneca Turnpike, Clinton
Clinton, NY 13323

Mailing address

7883 Seneca Turnpike, Clinton
New York, NY 13323
Phone (315) 404-4782

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1629603881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7883 SENECA TURNPIKE, CLINTON",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "13323",
            "telephone_number": "315-404-4782",
            "fax_number": "315-282-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7883 SENECA TURNPIKE, CLINTON",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "13323",
            "telephone_number": "315-404-4782",
            "fax_number": "315-282-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC AND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-641-2125"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.