Dynaflex PT & Pta PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

DYNAFLEX PT & PTA PLLC

Practice address

1700 Great Neck Rd
Copiague, NY 11726-2723

Phone

(631) 608-8700

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Myra Labial, PTNPI 1043477037

Title

Physical Therapist

Phone

(917) 747-1287

Specialties & licenses 1

Addresses

Other names 1

• Shining Star Physical Therapy Former legal business name

Practitioners 1

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

• Myra Labial, P.T.

  • Physical Therapist
  • New York, NY
  • NPI 1043477037
  NPD Authorized official

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1699540302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22005 HEMPSTEAD AVE APT 2",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292118",
            "telephone_number": "917-747-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 GREAT NECK RD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262723",
            "telephone_number": "631-608-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAFLEX PT & PTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "LABIAL",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-747-1287",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shining Star Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jolie Dichter, PSY.D.
• Carlie Lane Didier, LMSW
• Sylwia Dorota Djokic, LMT
• Memory Leigh Donner, PEER SPECIALIST
• Stefanie Drautz
• Courtney Eason, REGISTERED NURSE
• Chris Efstathiou, LCSW
• Erica Eisele, LMSW
• Mary Elizabeth Elliott, LPN
• Theresa Marie Elliott, LPN

• All providers in Copiague, NY
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.