DYNAMIC REHAB CENTER (NPI# 1972705465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972705465 |
| Entity Type | Organization |
| Organization Name | DYNAMIC REHAB CENTER |
| Practice Address |
10512 Northcliffe Blvd Spring Hill FL 34608-3766 |
| Practice Telephone | 3526883636 |
| Practice Fax Number | 3526881333 |
| Mailing Telephone | 3526883636 |
| Mailing Fax Number | 3526881333 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KERRY FITZGERALD (OWNER) |
| Authorized Official Telephone | 3526883636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | PTA15331 | FL | Agencies |
| Street Address |
10512 NORTHCLIFFE BLVD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34608-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194227967 | Christina Lee O'connor | Nurse Anesthetist, Certified Registered | 10046 Hayward Rd, Spring Hill, FL 34608 | 2018-03-07 |
| 1003342114 | Kaitlyn Peters | Physical Therapy Assistant | 11236 Norvell Rd, Springhill, FL 34608 | 2017-05-10 |
| 1962855932 | Elizabeth Bair | Speech-Language Pathologist | 5136 Florentine Ct, Spring Hill, FL 34608 | 2016-07-14 |
| 1104209022 | Shirley Ann Malone | Home Health Aide | 2092 Landover Blvd, Spring Hill, FL 34608 | 2015-07-09 |
| 1508243155 | Ana Del Carmen Argueta | Pharmacist | 11092 Spring Hill Drive, Spring Hill, FL 34608 | 2015-05-04 |
| 1497151807 | Melissa Mayes | Occupational Therapist | 7045 Evergreen Trail, Spring Hill, FL 34608 | 2014-11-12 |
| 1194075218 | Stephanie S Andrews | Speech-Language Pathologist | 2939 Landover Blvd, Spring Hill, FL 34608 | 2012-09-17 |
| 1720317266 | Cezar Dungca Enriquez | Physical Therapist | 7030 Atria Evergreen Woods Trail, Spring Hill, FL 34608 | 2009-12-11 |
| 1922284363 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5181 Pepper Street, Spring Hill, FL 34608 | 2008-01-16 |
| 1023187960 | Hoka Lisa Nyanda | Dermatology | 11021 Spring Hill Dr, Spring Hill, FL 34608 | 2006-11-07 |
| Find all providers in zip 34608 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427365345 | Family Connect Life Inc | PACE Provider Organization | 7969 Pinehurst Dr, Spring Hill, FL 34606-4330 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950620 | Pace Place of Northeast Florida, Inc | PACE Provider Organization | 5450 Ramona Blvd, Jacksonville, FL 32205-4750 | 2019-06-06 |
| 1487137030 | K and L Loving Care of Lehigh Acres Assisted Living Facility Inc. | PACE Provider Organization | 4504 6th St W, Lehigh Acres, FL 33971-1100 | 2018-09-10 |
| 1518401017 | Cornerstone Pace LLC | PACE Provider Organization | 5601 S Orange Ave, Suite 5665, Orlando, FL 32809-4229 | 2016-12-19 |
| 1275083727 | Veenakumar | PACE Provider Organization | 12152 Basalt Dr S, Jacksonville, FL 32246-0680 | 2016-10-08 |
| 1144604307 | Amc, LLC D/b/a Brainworx Academy | PACE Provider Organization | 641 University Blvd Ste 108, Jupiter, FL 33458-2792 | 2015-07-16 |
| 1548678634 | Emerald Home Care Corp | PACE Provider Organization | 14228-30 Sw 8 Street, Suite 23, Miami, FL 33184 | 2014-08-01 |
| 1427473552 | Pasco County Board of County Commissioners | PACE Provider Organization | 8600 Galen Wilson Blvd, Port Richey, FL 34668-5973 | 2014-02-26 |
| 1104178839 | Linjohn Medical Billing | PACE Provider Organization | 2 Miracle Strip Loop Ste 5, Panama City Beach, FL 32407-8412 | 2012-10-04 |
| 1619241320 | Leonardo Hernandez | PACE Provider Organization | 8009 Nw 36th St Ste 236, Doral, FL 33166-6638 | 2012-02-27 |
| 1295025591 | Dianand Rajigadoo | PACE Provider Organization | 1020 Chelsea Parc Dr, Minneola, FL 34715-8160 | 2011-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SPRING HILL |
| Zip Code | 34608 |
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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.