Organization Active NPI

Dynamic Gains Physical Therapy

  • Physical Therapy Clinic/Center
  • Livingston, NJ
National Provider Identifier
1639789910
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DYNAMIC GAINS PHYSICAL THERAPY
Practice address
355 Eisenhower Pkwy Ste 103
Livingston, NJ 07039-1021
Phone
(732) 804-6118
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Dr. Dalton S Gilligan, DPT
Title
Owner
Phone
(732) 804-6118

Specialties & licenses 1

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

Addresses

Primary practice location

355 Eisenhower Pkwy Ste 103
Livingston, NJ 07039-1021

Mailing address

73 Driftwood Dr
Brick, NJ 08723-5811
Phone (732) 804-6118

National Provider Directory

National Provider Directory

Locations

355 Eisenhower Pkwy
Ste 103
Livingston, NJ 07039
Phone (732) 804-6118

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1639789910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 DRIFTWOOD DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235811",
            "telephone_number": "732-804-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 EISENHOWER PKWY STE 103",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391021",
            "telephone_number": "732-804-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC GAINS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "GILLIGAN",
        "authorized_official_first_name": "DALTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-804-6118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.