Dynamic PT and Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

HCC8564 Issued in FL

Legal business name

DYNAMIC PT AND REHAB LLC

Practice address

8136 Okeechobee Blvd
Suite a & B
West Palm Beach, FL 33411-2002

Phone

(156) 116-9633

Fax

(156) 161-6932

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Oleg Rubin

Title

General Partner

Phone

(201) 819-4348

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1982938817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OKEECHOBEE BLVD",
            "address_2": "SUITE A & B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112002",
            "telephone_number": "156-116-9633",
            "fax_number": "156-161-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OKEECHOBEE BLVD",
            "address_2": "SUITE A & B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112002",
            "telephone_number": "156-116-9633",
            "fax_number": "156-161-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PT AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "201-819-4348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "HCC8564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica Eads

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.