NPIMap

Organization Active NPI

Dynamik Rehab Inc

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1720806417
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIK REHAB INC
Practice address
14221 Euclid St Ste F
Garden Grove, CA 92843-4991
Phone
(714) 891-2747
Fax
(714) 891-2747
NPI assigned
Oct 1, 2024
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Andy D Tran, PTNPI 1316078389
Title
Owner
Phone
(475) 714-4501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

14221 Euclid St Ste F
Garden Grove, CA 92843-4991

Mailing address

14221 Euclid St Ste F
Garden Grove, CA 92843-4991
Phone (714) 891-2747

National Provider Directory

National Provider Directory

Locations

14221 Euclid St
Ste F
Garden Grove, CA 92843
Phone (714) 343-4834

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1720806417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 EUCLID ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991",
            "telephone_number": "714-891-2747",
            "fax_number": "714-891-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 EUCLID ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991",
            "telephone_number": "714-891-2747",
            "fax_number": "714-891-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIK REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-714-4501",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.