Dynamic Rehab Center

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

PTA15331 Issued in FL

Legal business name

DYNAMIC REHAB CENTER

Practice address

10512 Northcliffe Blvd
Spring Hill, FL 34608-3766

Phone

(352) 688-3636

Fax

(352) 688-1333

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Kerry Fitzgerald

Title

Owner

Phone

(352) 688-3636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972705465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 NORTHCLIFFE BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083766",
            "telephone_number": "352-688-3636",
            "fax_number": "352-688-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 NORTHCLIFFE BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083766",
            "telephone_number": "352-688-3636",
            "fax_number": "352-688-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-688-3636"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "FL",
            "license": "PTA15331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• PACE Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.