Dynamic Physical Therapy Services Llc
LBN: Dynamic Physical Therapy Services Llc
Dynamic Physical Therapy Services Llc is an health care organization with primary practice located at 111 Elm St Suite 103, Worcester MA 01609-1967. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Dynamic Physical Therapy Services Llc can be contacted via phone (508) 799-6538, or through Buslov, Michael via phone (508) 799-6538.
Contact Information
Primary practice address
111 Elm St Suite 103
Worcester MA 01609-1967
Phone: (508) 799-6538
Fax: (508) 799-5535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 103 | Massachusetts |
Profile Details
| NPI number | 1801952163 |
|---|---|
| LBN Legal business name | Dynamic Physical Therapy Services Llc |
| DBA Doing business as | |
| Authorized official | Buslov, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801952163 | NPPES |
| Massachusetts | MEDICAID | 9733451 | |
| Massachusetts | Other | AA27170 | |
| Massachusetts | Other | 968564 | |
| Massachusetts | Other | Y61418 | |
| Massachusetts | Other | 0036268 |
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