Active NPI
Dynamotion Rehab and Physical Therapy, Inc.
- Physical Therapy Clinic/Center
- Dorchester, MA
National Provider Identifier
1801253836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1017
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.