PT Dynamics & Sports Medicine Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PT DYNAMICS & SPORTS MEDICINE INC

Practice address

22139 Sherman Way
Canoga Park, CA 91303-1137

Phone

(818) 348-0580

NPI assigned

Apr 3, 2007

Last updated

Oct 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey A Dunbar, RPTNPI 1497849038

Title

President

Phone

(818) 348-0580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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.

• Jeffrey A Dunbar, P.T.

  • Physical Therapist
  • Canoga Park, CA
  • NPI 1497849038
  Medicare reassignment NPD Authorized official
• Jabbour S Semaan, PT

  • Physical Therapist
  • Glendale, CA
  • NPI 1326385592
  NPD
• Shiju Abraham, PT

  • Physical Therapist
  • West Hills, CA
  • NPI 1003040338
  NPD (past)
• Jennifer Shari Cheung, DPT

  • Physical Therapist
  • Menlo Park, CA
  • NPI 1124373220
  NPD (past)
• Eliza Marie Guillinta, R.P.T

  • Specialist
  • Newhall, CA
  • NPI 1659493203
  NPD (past)
• Conor J McCullough, O.T.

  • Hand Occupational Therapist
  • Woodland Hills, CA
  • NPI 1841313459
  NPD (past)
• Pamela Jeanne Digiovanna, PT, DPT

  • Physical Therapist
  • Garden City Beach, SC
  • NPI 1356580807
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1699896605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 150",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072005",
            "telephone_number": "818-348-0580",
            "fax_number": "818-346-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22139 SHERMAN WAY",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031137",
            "telephone_number": "818-348-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT DYNAMICS & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-348-0580",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yulia Pugacheva
• Dianna Pulido
• Joaquin Pulido
• Darwin Puno
• Alec Pura

• Physical Therapy Clinic/Center in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.