Dynamic Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20953 Issued in FL

Legal business name

DYNAMIC REHAB LLC

Practice address

1618 Mahan Center Blvd
Suite 104
Tallahassee, FL 32308-5477

Phone

(850) 325-6307

Fax

(850) 325-6387

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Diana T. Dampier

Title

Managing Member/Owner

Phone

(850) 942-4988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1942467139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MAHAN CENTER BLVD",
            "address_2": "SUITE 104",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085477",
            "telephone_number": "850-325-6307",
            "fax_number": "850-325-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 MAHAN CENTER BLVD",
            "address_2": "SUITE 104",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085477",
            "telephone_number": "850-325-6307",
            "fax_number": "850-325-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "DAMPIER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "850-942-4988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Dwinell, L.C.S.W.
• Shashikala Dwivedi, P.A.
• Joyce Meta Dwyer, ARNP
• Peri Lynn Dwyer, DC DICCP
• Dynamic Medical Center, LLC
• Dynamic Spine and Wellness Center
• Dynamic Wellness Counseling & Consulting, LLC
• Dysphagia Consulting Group, LLC
• Kaycie Dziedzicki, PT, DPT
• Allison Anne Eagen, PT

• Physical Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.