DYNAMIC PHYSICAL THERAPY SERVICES LLC (NPI# 1639267974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639267974 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PHYSICAL THERAPY SERVICES LLC |
| Practice Address |
653 Myrtle Drive Covington LA 70433 |
| Practice Telephone | 9858934700 |
| Practice Fax Number | 9858933211 |
| Mailing Telephone | 9858934700 |
| Mailing Fax Number | 9858933211 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | MICHELLE SIERRA (OWNER) |
| Authorized Official Telephone | 9858934700 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1290 Front St Ste 1b, Slidell, LA 704582000 | 9853267260 | 9853267261 |
| 7520 Westbank Expy Ste D, Marrero, LA 700722354 | 5043714226 | 5043714228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801952163 | Dynamic Physical Therapy Services LLC | Physical Therapist | 111 Elm St, Suite 103, Worcester, MA 01609-1967 | 2006-12-29 |
| Street Address |
653 MYRTLE DRIVE |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508380 | Michelle E Sierra | Physical Therapist | 653 Myrtle Drive, Covington, LA 70433 | 2005-06-14 |
| 1245649656 | Cathy-anne Delaune Prieto | Physical Therapist | 653 Myrtle Drive, Covington, LA 70433 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1740810100 | Donald Martin Ponzo Jr. | Physical Therapist | 653 Myrtle Dr, Covington, LA 70433-8225 | 2020-01-23 |
| 1790190353 | Emily Lafleur | Physical Therapist | 1550 Ochsner Blvd, Covington, LA 70433-8192 | 2014-06-23 |
| 1932456142 | Christopher Baracco | Physical Therapist | 1201 Ochsner Blvd, Suite A, Covington, LA 70433-8147 | 2012-08-07 |
| 1083853899 | Germaine Lee Silva | Physical Therapist | 1010 S Polk St, Suite 2, Covington, LA 70433-2474 | 2009-02-18 |
| 1841247822 | Douglas Young IIi | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-05-27 |
| 1700841632 | Jonathan E. Koontz | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-04-20 |
| 1508821976 | Steven H. Speeler | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898990 | Johnnie L Kleinschmidt | Physical Therapist | 1890 W Gauthier Rd Ste 125, Lake Charles, LA 70605-7180 | 2020-07-13 |
| 1740813534 | R R Rehab LLC | Physical Therapist | 3960 Florida St Ste 3, Mandeville, LA 70448-3340 | 2020-02-19 |
| 1871151399 | Amy Laura Stallings | Physical Therapist | 1135 Expressway Dr Ste 100a, Pineville, LA 71360-6666 | 2019-05-30 |
| 1467016428 | Grant Anthony Falcon | Physical Therapist | 2531 Dulles Dr, Lafayette, LA 70506-2660 | 2019-04-25 |
| 1184192254 | William Keith Mills II | Physical Therapist | 7872 Anselmo Ln Ste B, Baton Rouge, LA 70810-1101 | 2018-11-07 |
| 1225516982 | Mallory Kathryn Lott | Physical Therapist | 234 Loyola Ave Ste 302, New Orleans, LA 70112-2026 | 2018-08-03 |
| 1003315607 | Matthew Alan Armstrong | Physical Therapist | 2530 Bert Kouns Industrial Loop Ste 148, Shreveport, LA 71118-6114 | 2018-02-08 |
| 1770031197 | Jade Jones | Physical Therapist | 2310 Commons Ct., Unit 2, Ruston, LA 71270 | 2016-09-14 |
| 1265840516 | Benjamin Michael Wilt | Physical Therapist | 13334 W Mill Grove Dr, Gonzales, LA 70737-6564 | 2014-07-31 |
| 1316353592 | Blake William Brown | Physical Therapist | 312 Grammont St Ste 302, Monroe, LA 71201-7403 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
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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.