NPIMap

Organization Active NPI

Dynamic Therapy Center, LLC

  • Occupational Therapy Assistant
  • Lebanon, TN
National Provider Identifier
1780888180
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1601 Issued in TN
Legal business name
DYNAMIC THERAPY CENTER, LLC
Practice address
6650 Eastgate Blvd
Suite 101
Lebanon, TN 37090-6017
Phone
(615) 443-4445
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Karyn KurthNPI 1619905361
Title
Owner
Phone
(615) 443-4445

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 66 TN
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 1601 TN Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1423 TN
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1692 TN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2691 TN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3453 TN

Addresses

Primary practice location

6650 Eastgate Blvd
Suite 101
Lebanon, TN 37090-6017

Mailing address

6650 Eastgate Blvd
Suite 101
Lebanon, TN 37090-6017

Other identifiers 1

IdentifierTypeStateIssuer
5441186MedicaidTN

National Provider Directory

National Provider Directory

Locations

6650 Eastgate Blvd
Ste 101
Lebanon, TN 37090

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780888180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 EASTGATE BLVD",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370906017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 EASTGATE BLVD",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370906017",
            "telephone_number": "615-443-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KURTH",
        "authorized_official_first_name": "KARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-443-4445"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "66",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1601",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "1423",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "1692",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2691",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3453",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441186",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.