DYNAMICO PHYSICAL THERAPY AND REHABILITATION CENTER SC (NPI# 1619207867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619207867 |
| Entity Type | Organization |
| Organization Name | DYNAMICO PHYSICAL THERAPY AND REHABILITATION CENTER SC |
| Practice Address |
4255 W 63rd St Chicago IL 60629-5041 |
| Practice Telephone | 7734246367 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | DR. NAYEH EDWIN MIRSHED (PARTNER) |
| Authorized Official Telephone | 7734246367 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
4255 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914884 | Shermi V Parikh | Podiatrist | 4255 W 63rd St, Chicago, IL 60629-5041 | 2005-09-28 |
| 1871058842 | Margie Ortiz | Nurse Practitioner | 4255 W 63rd St, Chicago, IL 60629-5041 | 2019-02-04 |
| 1184015927 | Careplus Discount Pharmacy Inc | Pharmacy | 4255 W 63rd St, Chicago, IL 60629-5041 | 2015-02-16 |
| 1871867374 | Therese Marie Bolger | Physician Assistant | 4255 W 63rd St, Chicago, IL 60629-5041 | 2012-03-01 |
| 1851629737 | Careplus Pharmacy Inc | Pharmacy | 4255 W 63rd St, Chicago, IL 60629-5041 | 2009-12-03 |
| 1083880637 | Mirshed Medical Center S C | Internal Medicine | 4255 W 63rd St, Chicago, IL 60629-5041 | 2008-05-05 |
| 1740475060 | Rangel Eye Care, Ltd | Optometrist | 4255 W 63rd St, Chicago, IL 60629-5041 | 2007-09-10 |
| 1811012206 | John A Rangel | Optometrist | 4255 W 63rd St, Chicago, IL 60629-5041 | 2007-03-21 |
| 1942308267 | Shermi V. Parikh Medical Corporation Sc | Podiatrist | 4255 W 63rd St, Chicago, IL 60629-5041 | 2006-09-20 |
| 1073560470 | Teresa Virginia Sluder | Physical Therapist | 4255 W 63rd St, Chicago, IL 60629-5041 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| 1275152746 | Freeform Physical Therapy LLC | Clinic/Center | 2906 W Fullerton Ave, Chicago, IL 60647-2921 | 2020-04-14 |
| 1730736158 | Achieve Performance Lab LLC | Clinic/Center | 1940 W Lawrence Ave Apt 3w, Chicago, IL 60640-4012 | 2019-08-20 |
| 1255997862 | Urban Physical Therapy LLC | Clinic/Center | 345 E Ohio St Apt 2807, Chicago, IL 60611-4065 | 2019-05-20 |
| 1760047179 | Remedy Physical Therapy and Wellness | Clinic/Center | 4636 N Kenmore Ave # 2, Chicago, IL 60640-5039 | 2019-05-01 |
| 1780248864 | Customfit Concierge Medicine, Health and Fitness LLC | Clinic/Center | 1413 W Fillmore St Apt 2, Chicago, IL 60607-4716 | 2019-04-24 |
| 1801356175 | Kinetic Care Physical Therapy LLC | Clinic/Center | 3245 N Ashland Ave Apt 2a, Chicago, IL 60657-4087 | 2019-03-22 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
| Find all providers in CHICAGO | ||||
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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.