Active NPI
Dynamic Gains Physical Therapy
- Physical Therapy Clinic/Center
- Livingston, NJ
National Provider Identifier
1639789910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.