Active NPI
Dynamic Physical Therapy & Sports Clinic
- Physical Therapist
- Union City, NJ
National Provider Identifier
1902267263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01620600
- Legal business name
- DYNAMIC PHYSICAL THERAPY & SPORTS CLINIC
- Practice address
- 407 39TH St Ste 301
Union City, NJ 07087-4817 - Phone
- (201) 472-8828
- NPI assigned
- Mar 15, 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
- John Hernandez, PT
- Title
- Managing Director
- Phone
- (201) 472-8828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01620600 | NJ | Primary |
Addresses
Primary practice location
407 39TH St Ste 301
Union City, NJ 07087-4817
Mailing address
407 39TH St Ste 301
Union City, NJ 07087-4817
Phone (201) 472-8828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699143594 | Other | NJ | NPI NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458000000000",
"number": "1902267263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 39TH ST STE 301",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874817",
"telephone_number": "201-472-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 39TH ST STE 301",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874817",
"telephone_number": "201-472-8828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC PHYSICAL THERAPY & SPORTS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "201-472-8828",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01620600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1699143594",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union City, NJ
- Duane Reade
- Chelsea Davis Dugan, M.S., CCC-SLP
- Daniel J Dussman, PT CHT
- Maria A Dutkiewicz, RPH
- Dynamic Care Physical Therapy & Sports Medicine Inc
- East Hudson Medical Care of New Jersey, LLC
- Ekta Ishan Corp
- Jermin Elbadry, PT, DPT
- Elderkare Medical Supplies LLC.
- Elevate & Evolve Wellness Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.