Dynamic Therapy 101. L.L.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DYNAMIC THERAPY 101. L.L.C.

Practice address

2017 Nassau Dr.
Riviera Beach, FL 33404

Phone

(561) 961-8588

Fax

(561) 623-5577

NPI assigned

Feb 8, 2013

Last updated

Feb 8, 2013By 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

Mr. Dale Severson

Title

C.E.O.

Phone

(561) 951-8588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1720327828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 NASSAU DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046460",
            "telephone_number": "561-951-8588",
            "fax_number": "561-623-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 NASSAU DR.",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "33404",
            "telephone_number": "561-961-8588",
            "fax_number": "561-623-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY 101. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "561-951-8588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Alphonzo Dunn
• Vivilyn Dunn
• Daniel Harry Dwyer, RN
• Jennifer Dyer, MSW, RCSWI
• Julie A Dykstra, RMHCI
• Taylor R Easey, PHARMD
• James Millard Ebel, MS, CTRS
• Susan Eby, MSW
• Alejandro Echaverry, PHARM.D
• Joan Samantha Echeverria Moradel

• Customized Equipment (DME) in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.