Organization Active NPI

Dynamotion Rehab and Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Dorchester, MA
National Provider Identifier
1801253836
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1017 Issued in MA
Legal business name
DYNAMOTION REHAB AND PHYSICAL THERAPY, INC.
Practice address
1558 Dorchester Ave
Suite 1L
Dorchester, MA 02122-1354
Phone
(617) 533-8681
Fax
(617) 514-6016
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Ms. Yelena Brill, PTA
Title
President
Phone
(617) 533-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1017 MA Primary

Addresses

Primary practice location

1558 Dorchester Ave
Suite 1L
Dorchester, MA 02122-1354

Mailing address

1558 Dorchester Ave
Suite 1L
Dorchester, MA 02122-1354
Phone (617) 533-8681

National Provider Directory

National Provider Directory

Locations

1558 Dorchester Ave
Ste 1L
Dorchester, MA 02122
Phone (617) 533-8681

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1801253836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 DORCHESTER AVE",
            "address_2": "SUITE 1L",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221354",
            "telephone_number": "617-533-8681",
            "fax_number": "617-514-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 DORCHESTER AVE",
            "address_2": "SUITE 1L",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221354",
            "telephone_number": "617-533-8681",
            "fax_number": "617-514-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMOTION REHAB AND PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-533-8681",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.