DYNAMIC CARE REHAB (NPI# 1386943322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386943322 |
| Entity Type | Organization |
| Organization Name | DYNAMIC CARE REHAB |
| Practice Address |
6006 N Mesa St Ste 901 El Paso TX 79912-4655 |
| Practice Telephone | 9154080699 |
| Practice Fax Number | 9155032297 |
| Mailing Telephone | 9154080699 |
| Mailing Fax Number | 9155032297 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | MR. MARK JEROME VIRAY GONZALES (OWNER/MANAGER) |
| Authorized Official Telephone | 9154080699 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 111483 | TX | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1123313 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | THE EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERA | 669570000 | 01 |
| Street Address |
6006 N MESA ST STE 901 |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1083027783 | Wellness Rehab Center LLC | Clinic/Center | 2204 Joe Battle Blvd., Bldg. C Suite 106, 107, 108, El Paso, TX 79938-9996 | 2014-06-10 |
| 1003232281 | Rehab Prescriptions | Clinic/Center | 3945 Doniphan Park Cir, Ste. A, El Paso, TX 79922-1345 | 2014-03-11 |
| 1659640928 | Manual Physical Therapy Specialists LLC | Clinic/Center | 1421 N. Lee Trevino Dr., Suite B2a, El Paso, TX 79936 | 2011-12-15 |
| 1851573091 | Prieto Physical Therapy, Inc. | Clinic/Center | 1717 Brown St Ste 2a, El Paso, TX 79902-4730 | 2007-11-29 |
| 1245364496 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2400 Trawood, Suite 104, El Paso, TX 79936 | 2007-03-16 |
| 1407980683 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6320 Gateway Blvd. East, El Paso, TX 79905 | 2007-03-16 |
| 1821619115 | El Paso Physical Therapy Specialists LLC | Clinic/Center | 6151 Dew Dr Ste 300, El Paso, TX 79912-3912 | 2020-04-28 |
| 1124589296 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1575 Belvidere St, El Paso, TX 79912-2649 | 2019-03-29 |
| 1679039143 | Louis E. Zuniga Pt PC | Clinic/Center | 2270 Joe Battle Blvd Ste R, El Paso, TX 79938-2610 | 2019-02-20 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.