Dynamic Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3307-024 Issued in WI

Legal business name

DYNAMIC PHYSICAL THERAPY, LLC

Practice address

10731 W Forest Home Ave
Hales Corners, WI 53130-2555

Phone

(414) 529-4605

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Reitz, R.P.T.

Title

Owner/Physical Therapist

Phone

(414) 529-4605

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffry Raymond Dauk, D.C.

  • Chiropractor
  • Brookfield, WI
  • NPI 1710034145
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1902983802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10731 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302555",
            "telephone_number": "414-529-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10731 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302555",
            "telephone_number": "414-529-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "REITZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "414-529-4605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3307-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Doyle, MSW
• DRS. Paul M Godich and Mark a Dagenais Optometrists LLC
• Victoria Ducoffe
• Ryan Charles Dulde, D.D.S.
• Alison Durfee, LAPSW
• Sidney Michelle Ebert, DDS
• Kevin Robert Eckert, DPT
• Phyllis M. Eckhart, DDS
• Beth Marie Eddy, IBCLC
• Elizabeth Hoover Eiche, D.D.S.

• Physical Therapist in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.