Dynamic Sports Therapy

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

DYNAMIC SPORTS THERAPY

Practice address

1111 Rusk St Apt 616
Houston, TX 77002-3438

Phone

(432) 935-3749

NPI assigned

Aug 8, 2023

Organization subpart

No

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

Authorized official

Name

Steven IslasNPI 1992355622

Title

Physical Therapist

Phone

(432) 935-3749

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Steven Islas, PT, DPT, SCS

  • Sports Physical Therapist
  • Houston, TX
  • NPI 1992355622
  Medicare reassignment NPD Authorized official
• Ellie Leitko, PT, DPT

  • Physical Therapist
  • Houston, TX
  • NPI 1235069097
  NPD (past)

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1831872944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RUSK ST APT 616",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770023438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RUSK ST APT 616",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770023438",
            "telephone_number": "432-935-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "ISLAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "432-935-3749"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Sports Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.