Organization Active NPI

Dynamic Orthopedic Physical Therapy Wellness Clinic, LLC

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1932664844
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC ORTHOPEDIC PHYSICAL THERAPY WELLNESS CLINIC, LLC
Practice address
9929 S Padre Island Dr Ste 117
Corpus Christi, TX 78418-5148
Phone
(361) 657-0168
Fax
(800) 784-2040
NPI assigned
Feb 5, 2019
Last updated
Feb 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Mr. Jose Adolfo Arroyo, DPTNPI 1356537583
Title
Physical Therapist
Phone
(361) 354-4274

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

9929 S Padre Island Dr Ste 117
Corpus Christi, TX 78418-5148

Mailing address

6014 Queen Bess Dr
Corpus Christi, TX 78414-4068
Phone (361) 354-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190219000582 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486992310 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

9929 Spid Dr
Ste 117
Corpus Christi, TX 78418
Phone (361) 354-4274

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1932664844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 QUEEN BESS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144068",
            "telephone_number": "361-354-4274",
            "fax_number": "800-784-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 S PADRE ISLAND DR STE 117",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185148",
            "telephone_number": "361-657-0168",
            "fax_number": "800-784-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ORTHOPEDIC PHYSICAL THERAPY WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "ARROYO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ADOLFO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "361-354-4274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.