Organization Active NPI

Dynamic Rehab Solutions, LLC

  • Occupational Therapist
  • Roswell, NM
National Provider Identifier
1669345716
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
DYNAMIC REHAB SOLUTIONS, LLC
Practice address
613 W 2ND St Ste 1-5
Roswell, NM 88201-4671
Phone
(575) 840-3879
Fax
(866) 337-2718
NPI assigned
Sep 25, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Kevinray Munoz
Title
Director of Operations
Phone
(575) 840-3879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

613 W 2ND St Ste 1-5
Roswell, NM 88201-4671

Mailing address

613 W 2ND St Ste 1-5
Roswell, NM 88201-4671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128002890 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820576291 Receives reassigned benefits from 1 practitioner
Practice locations: Roswell, NM

National Provider Directory

National Provider Directory

Locations

613 W 2nd St
Ste 15
Roswell, NM 88201
Phone (575) 840-3879

Practitioners & affiliated clinicians

Practitioners 3

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": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1669345716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 W 2ND ST STE 1-5",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W 2ND ST STE 1-5",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014671",
            "telephone_number": "575-840-3879",
            "fax_number": "866-337-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "KEVINRAY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "575-840-3879"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.