Active NPI
Dynamic Kids Therapy Inc
- Physical Therapist
- Miami Lakes, FL
National Provider Identifier
1912205774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14800
- Legal business name
- DYNAMIC KIDS THERAPY INC
- Practice address
- 14340 Lake Pandlewood CT
Miami Lakes, FL 33014 - Phone
- (786) 395-2882
- Fax
- (305) 428-2661
- NPI assigned
- Mar 3, 2011
- 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
- Claudia Guzman, PT
- Title
- Owner
- Phone
- (786) 395-2882
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14800 | FL | Primary |
Addresses
Primary practice location
14340 Lake Pandlewood CT
Miami Lakes, FL 33014
Mailing address
14340 Lake Pandlewood Court
Miami Lakes, FL 33014-3016
Phone (786) 395-2882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y092P | Other | FL | BCBSFL |
| 888598200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Miami Lakes, FL
- NPI 1942278478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299110400000",
"number": "1912205774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14340 LAKE PANDLEWOOD COURT",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330143016",
"telephone_number": "786-395-2882",
"fax_number": "305-428-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14340 LAKE PANDLEWOOD CT",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "33014",
"telephone_number": "786-395-2882",
"fax_number": "305-428-2661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC KIDS THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-395-2882",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT14800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "Y092P",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888598200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.