Organization Active NPI

Dynamix Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Milan, TN
National Provider Identifier
1669619268
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DYNAMIX PHYSICAL THERAPY LLC
Practice address
2060 Rhino Xing
Milan, TN 38358-5201
Phone
(731) 613-2214
Fax
(731) 613-2215
NPI assigned
Jan 19, 2009
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Dr. Russ Alexander Huffstetler, PTNPI 1144282344
Title
Owner
Phone
(731) 613-2214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2060 Rhino Xing
Milan, TN 38358-5201

Mailing address

PO Box 1004
Milan, TN 38358-1004
Phone (731) 613-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090504000677 TN Part B Supplier - Clinic/Group Practice 5193873933 Receives reassigned benefits from 57 practitioners
Practice locations: Jackson, TN; Martin, TN; MC Kenzie, TN; Milan, TN; Millington, TN; Paris, TN; Somerville, TN; Trenton, TN…
O20241118001890 MS Part B Supplier - Clinic/Group Practice 5193873933 Receives reassigned benefits from 2 practitioners
Practice locations: Corinth, MS

National Provider Directory

National Provider Directory
Tax ID family
Dynamix Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2035 E Shiloh Rd
Ste A
Corinth, MS 38834
Phone (662) 212-5250

6225 Quintard St
Ste 105
Arlington, TN 38002
Phone (901) 467-2800

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

309 Highway 641 N
Camden, TN 38320
Phone (731) 584-1722

111 N Central Ave
Centerville, TN 37033

973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100

470 Mall Blvd
Ste E
Dyersburg, TN 38024

405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221

3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221

529 High St
Huntingdon, TN 38344
Phone (731) 418-8100

117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202

1314 S Highland Ave
Jackson, TN 38301
Phone (731) 891-6006

104 Oxford St
Martin, TN 38237
Phone (731) 587-3422

2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214

6070 S 1st St
Milan, TN 38358
Phone (731) 613-2214

1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306

126 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 613-2214

128 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2221

1370 Rutledge Ln
Union City, TN 38261
Phone (731) 389-9800

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1669619268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383581004",
            "telephone_number": "731-613-2214",
            "fax_number": "731-613-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 RHINO XING",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585201",
            "telephone_number": "731-613-2214",
            "fax_number": "731-613-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "HUFFSTETLER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-613-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.