Dynamik Balance, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PT21423 Issued in FL

Legal business name

DYNAMIK BALANCE, LLC

Practice address

10506 Marsanne PL
Riverview, FL 33578-4319

Phone

(813) 541-6880

NPI assigned

Dec 16, 2012

Organization subpart

No

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

Authorized official

Name

Tarissa Marvette Williams, PTNPI 1336485564

Title

Founder

Phone

(813) 541-6880

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tarissa Marvette Williams, PT

  • Physical Therapist
  • Riverview, FL
  • NPI 1336485564
  NPD (past) Authorized official

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355616000000",
    "number": "1699011833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 MARSANNE PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784319",
            "telephone_number": "813-541-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MARSANNE PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784319",
            "telephone_number": "813-541-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIK BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-16",
        "last_updated": "2012-12-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TARISSA",
        "authorized_official_middle_name": "MARVETTE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "813-541-6880",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "PT21423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dupree, MS, RMHCI
• Amber Ann Durden
• Alexis K Duron, OTD
• Marion M Dwyer, M.S. MENTAL HEALTH
• Damon Wesley Dye, L.M.H.C., N.C.G.C.II
• Eagles Nest of Love LLC
• Earlee a. Salas, PA
• Early Intervention Academy, LLC
• Nigel Eli Easley
• Yeney Echizarraga Sanchez

• Home Health Agency in Riverview, FL
• Providers in Riverview, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2012; 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.