Organization Active NPI

Dynamic Rehabilitation Services Inc

  • Physical Therapist
  • Elkins Park, PA
National Provider Identifier
1740239946
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC REHABILITATION SERVICES INC
Practice address
8080 Old York Rd
Suite 208
Elkins Park, PA 19027-1421
Phone
(215) 782-8760
Fax
(215) 635-7130
NPI assigned
May 8, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Richard A Demaria, PT
Title
Owner
Phone
(215) 872-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

8080 Old York Rd
Suite 208
Elkins Park, PA 19027-1421

Mailing address

PO Box 26733
Elkins Park, PA 19027-0733
Phone (215) 782-8760

Other identifiers 1

IdentifierTypeStateIssuer
01517814MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1740239946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26733",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190270733",
            "telephone_number": "215-782-8760",
            "fax_number": "215-635-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD",
            "address_2": "SUITE 208",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271421",
            "telephone_number": "215-782-8760",
            "fax_number": "215-635-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "DEMARIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-872-8760",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01517814",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.