Dynamic Health Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

006036 Issued in CT

Legal business name

DYNAMIC HEALTH PHYSICAL THERAPY

Practice address

35 Tower Lane
Suite 110
Avon, CT 06001-4237

Phone

(860) 404-2549

Fax

(860) 404-2621

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Roberts, P.T.NPI 1710021563

Title

Physical Therapist/Owner

Phone

(860) 930-4924

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 5

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

• Christopher Roberts, PT

  • Physical Therapist
  • Avon, CT
  • NPI 1710021563
  Medicare reassignment Care Compare group Authorized official
• Leah M Nowak, PT

  • Physical Therapist
  • Bloomfield, CT
  • NPI 1154341121
  Medicare reassignment Care Compare group NPD
• Julie Shifreen, R.P.T.

  • Physical Therapist
  • Hartford, CT
  • NPI 1710144415
  Medicare reassignment Care Compare group NPD
• George J Giannoni, P.T.

  • Physical Therapist
  • Somerville, MA
  • NPI 1346288081

  CT

  Medicare reassignment Care Compare group NPD
• Carly S. Murphy, PH.D.

  • Counseling Psychologist
  • East Longmeadow, MA
  • NPI 1093806341
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1700221371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TOWER LANE",
            "address_2": "SUITE 110",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014237",
            "telephone_number": "860-404-2549",
            "fax_number": "860-404-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TOWER LANE",
            "address_2": "SUITE 110",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014237",
            "telephone_number": "860-404-2549",
            "fax_number": "860-404-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "860-930-4924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "006036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Timothy Owens, D.C., LLC
• Josie C Dumond, NP-C
• Charity Durham, DO
• Jay Roland Duxin, M.D.
• Brianne M Dwyer, DPT
• Eastern Rehabilitation Network
• Sherald Patricia Eklund, APRN
• Nezha Elomari, NURSE PRACTITIONER
• Jennifer Elsaesser, APRN
• Emily Parkes Pelvic Health, LLC

• Physical Therapy Clinic/Center in Avon, CT
• Providers in Avon, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.