Active NPI
Dynamic Therapy Group LLC
- Speech-Language Pathologist
- Waterbury, CT
National Provider Identifier
1972918100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- DYNAMIC THERAPY GROUP LLC
- Practice address
- 9 Hewlett St
Waterbury, CT 06710-1616 - Phone
- (203) 759-1371
- Fax
- (203) 504-7922
- NPI assigned
- Jun 26, 2014
- 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
- Erica Lesser
- Title
- Owner
- Phone
- (203) 759-1371
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
9 Hewlett St
Waterbury, CT 06710-1616
Mailing address
9 Hewlett St
Waterbury, CT 06710-1616
Phone (203) 759-1371
National Provider Directory
National Provider DirectoryLocations
32 Hillside Ave
Waterbury, CT 06710
Phone (203) 759-8007
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Waterbury, CT
- NPI 1174925408
-
- Speech-Language Pathologist
- Waterbury, CT
- NPI 1780092106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426464000000",
"number": "1972918100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HEWLETT ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101616",
"telephone_number": "203-759-1371",
"fax_number": "203-504-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HEWLETT ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101616",
"telephone_number": "203-759-1371",
"fax_number": "203-504-7922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC THERAPY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-26",
"last_updated": "2015-03-16",
"status": "A",
"authorized_official_last_name": "LESSER",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-759-1371"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.