DYNAMIC PEDIATRIC THERAPY, INC. (NPI# 1487888046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487888046 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PEDIATRIC THERAPY, INC. |
| Practice Address |
14400 Nw 77 Ct Suite 100 Miami Lakes FL 33016 |
| Mailing Address |
600 Ne 22 Terr Suite 205 Homestead FL 33033 |
| Practice Telephone | 3052429424 |
| Mailing Telephone | 3052429424 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | ILEANA MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 3052429424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OTA 10426 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0001392900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 Sw 70th Way, North Lauderdale, FL 330682559 | 9546827633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083916787 | Dynamic Pediatric Therapy, Inc. | Contractor | 14400 Nw 77 Ct Suite 100, Miami Lakes, FL 33016 | 2010-12-01 |
| Street Address |
14400 NW 77 CT SUITE 100 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083916787 | Dynamic Pediatric Therapy, Inc. | Contractor | 14400 Nw 77 Ct Suite 100, Miami Lakes, FL 33016 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033769310 | Kayla Marie Tornari | Physical Medicine & Rehabilitation | 6002 Nw 74th Ter, Parkland, FL 33067-1227 | 2019-09-18 |
| 1750840393 | Because You Can, LLC | Physical Medicine & Rehabilitation | 2901 1st Ave N Ste 101, St Petersburg, FL 33713-8640 | 2019-03-13 |
| 1780027870 | South Broward Hospital District | Physical Medicine & Rehabilitation | 4651 Sheridan Street, Suite 150, Hollywood, FL 33024 | 2013-04-09 |
| 1497884399 | First Step Therapeutics | Physical Medicine & Rehabilitation | 1104 Beville Road, Suite J, Daytona Beach, FL 32114-5765 | 2007-03-05 |
| 1982624771 | Pediatric Potentials, Inc. | Physical Medicine & Rehabilitation | 295 Waymont Ct, Lake Mary, FL 32746-6744 | 2006-07-21 |
| 1568073823 | Wesley Roland Innocent Jr. | Physical Medicine & Rehabilitation | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-08-11 |
| 1851867204 | Hop, Skip and A Jump Pediatric Physical Therapy | Physical Medicine & Rehabilitation | 30201 Sw 172nd Ave, Homestead, FL 33030-4820 | 2018-10-23 |
| 1447761473 | Catherine Wright | Physical Medicine & Rehabilitation | 10250 Nw 53rd St, Sunrise, FL 33351-8023 | 2017-10-17 |
| 1841483393 | Margarita Correa LLC | Physical Medicine & Rehabilitation | 720 Almond St, Clermont, FL 34711-3124 | 2007-08-18 |
| 1356407068 | Ewa B Brandys | Physical Medicine & Rehabilitation | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI LAKES |
| Zip Code | 33016 |
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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.