Dynamic Performance Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20354 Issued in CA

Legal business name

DYNAMIC PERFORMANCE PHYSICAL THERAPY INC

Doing business as

Kore Physical Therapy

Practice address

2377 W. Foothill Blvd
Ste 20
Upland, CA 91786

Phone

(909) 608-2800

Fax

(909) 608-2803

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ninfa Pili Weinzapfel, DPTNPI 1952445496

Title

Ceo/ Physical Therapist

Phone

(909) 937-4556

Specialties & licenses 1

Addresses

Other names 1

• Kore Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Ninfa P Weinzapfel, P.T.

  • Physical Therapist
  • Upland, CA
  • NPI 1952445496
  Medicare reassignment NPD Authorized official
• Judith A Johnson, P.T.

  • Physical Therapist
  • Upland, CA
  • NPI 1023152154
  Medicare reassignment NPD
• Jessica Lizama

  • Physical Therapist
  • Upland, CA
  • NPI 1710802780
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1841713625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 W FOOTHILL BLVD STE 20",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863584",
            "telephone_number": "909-608-2800",
            "fax_number": "909-608-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 W. FOOTHILL BLVD",
            "address_2": "STE 20",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-608-2800",
            "fax_number": "909-608-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PERFORMANCE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "WEINZAPFEL",
        "authorized_official_first_name": "NINFA",
        "authorized_official_middle_name": "PILI",
        "authorized_official_title_or_position": "CEO/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "909-937-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "20354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Duroseau, DDS
• Bruce Granger Duvall, O.D.
• Dva Healthcare Renal Care Inc
• Dwaraknath P. Reddy, M.D.
• Joseph Dwyer
• Christin Dziadowicz, FNP
• Lily Elikplim Dzidula
• Jenmarie Christine Eadie, LCSW
• Eagle Universal LLC
• Dawn Earls

• Physical Therapy Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.