Dynamic Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

DYNAMIC THERAPY SERVICES LLC

Practice address

1015 S Governors Ave
Dover, DE 19904-6901

Phone

(302) 730-4800

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Tasheda Broughton, PESC

Title

Manager, Credentialing

Phone

(252) 248-3313

Specialties & licenses 1

Addresses

Other names 1

• Pivot Physical Therapy of Mid Atlantic Doing business as

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1801434113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "252-248-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046901",
            "telephone_number": "302-730-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BROUGHTON",
        "authorized_official_first_name": "TASHEDA",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "252-248-3313",
        "authorized_official_credential": "PESC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pivot Physical Therapy of Mid Atlantic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pivot Physical Therapy of Mid Atlantic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Duphily, CRNA
• Giani Leshay Dupree, RN
• Richard P Dushuttle, MD
• Carole Ann Dye, NP-C
• Sandra A. Dyer, LCSW
• E & C Transportation LLC
• Jennifer A Eakin, D.O.
• Jason Ramirez Eala, DNP, APRN-RX, PMHNP
• Whitney Braxton Earle
• East Coast Observation Physicians LLP

• Occupational Therapist in Dover, DE
• Providers in Dover, DE by specialty
• Occupational Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.