Dynamic Therapeutic Care SLP PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DYNAMIC THERAPEUTIC CARE SLP PLLC

Practice address

495 Flatbush Ave Ste 21
Brooklyn, NY 11225-3706

Phone

(877) 585-0047

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Rezia Yoshika Luke, SLP- CCCNPI 1942565726

Title

Speech Language Pathologist

Phone

(718) 913-3494

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Therapeutic Care Doing business as

Locations

Practitioners 1

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

• Rezia Luke, SLP-CCC/ TSSLD

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1942565726
  NPD (past) Authorized official

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1750864435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30387",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112030387",
            "telephone_number": "718-913-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE STE 21",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706",
            "telephone_number": "877-585-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPEUTIC CARE SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "REZIA",
        "authorized_official_middle_name": "YOSHIKA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "718-913-3494",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP- CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Therapeutic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dynamic Optical 37 Inc
• Dynamic Physical Therapy and Acupuncture, PLLC
• Dynamic Solutions Pediatric Physical & Occupational Therapy
• Dynamic Speech & Language PC
• Dynamic Suppliers, LLC
• Dynamic Wellness Physical Therapy PC
• Dynamic Youth Community
• Dynamicare Inc
• Dynasty First Medical PC
• Dynasty Pediatrics PLLC

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

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