NPIMap

Organization Active NPI

Dynamix PT

  • Physical Therapist
  • Alamogordo, NM
National Provider Identifier
1801206362
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4019 Issued in NM
Legal business name
DYNAMIX PT
Practice address
407 Coronado Dr
Alamogordo, NM 88310-6022
Phone
(575) 415-4417
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Kyle Assad Kamal, PT, DPT
Title
Ceo, Owner
Phone
(575) 415-4417

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 4018 NM
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 4019 NM Primary

Addresses

Primary practice location

407 Coronado Dr
Alamogordo, NM 88310-6022

Mailing address

407 Coronado Dr
Alamogordo, NM 88310-6022
Phone (575) 415-4417

Other names 1

  • DYNAMIX PT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dynamix PT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1801206362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CORONADO DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106022",
            "telephone_number": "575-415-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CORONADO DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106022",
            "telephone_number": "575-415-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIX PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ASSAD",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "575-415-4417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4018",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMIX PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.