Dynamic Physical Therapy and Acupuncture, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC PHYSICAL THERAPY AND ACUPUNCTURE, PLLC

Practice address

8610 25TH Ave
Brooklyn, NY 11214-4458

Phone

(718) 372-6888

Fax

(718) 372-9999

NPI assigned

Nov 9, 2015

Organization subpart

No

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

Authorized official

Name

Amy Wang

Title

L.Ac.

Phone

(718) 372-6888

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annabelle Villafuerte Tady, PT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1457827156
  Medicare reassignment Care Compare group NPD
• Emmanuel Alcancia Maranan

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1811244163
  Medicare reassignment Care Compare group
• Jairus Gaberiel Maglasang Flores, PT, DPT

  • Physical Therapist
  • Great Neck, NY
  • NPI 1710462999
  Medicare reassignment NPD
• Jomah Sison Lumagui, DPT

  • Physical Therapist
  • Jackson Heights, NY
  • NPI 1780997353
  Medicare reassignment NPD
• Amy Xiaoping Wang, L.AC.

  • Acupuncturist
  • Brooklyn, NY
  • NPI 1740528116
  NPD
• Guorong Dai, M.D

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1811921711
  NPD (past)
• Deren Liang, LAC

  • Acupuncturist
  • Brooklyn, NY
  • NPI 1851594485
  NPD (past)

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1972976280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 25TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144458",
            "telephone_number": "718-372-6888",
            "fax_number": "718-372-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 25TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144458",
            "telephone_number": "718-372-6888",
            "fax_number": "718-372-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY AND ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "L.AC.",
        "authorized_official_telephone_number": "718-372-6888"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Children Services Inc.
• Dynamic Intervention Licensed Behavior Analyst PLLC
• Dynamic Medical Systems Inc
• Dynamic Moves Physical Therapy PC
• Dynamic Optical 37 Inc
• Dynamic Solutions Pediatric Physical & Occupational Therapy
• Dynamic Speech & Language PC
• Dynamic Suppliers, LLC
• Dynamic Therapeutic Care SLP PLLC
• Dynamic Wellness Physical Therapy PC

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.