DYNAMIC THERAPY GROUP LLC (NPI# 1972918100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972918100 |
| Entity Type | Organization |
| Organization Name | DYNAMIC THERAPY GROUP LLC |
| Practice Address |
9 Hewlett St Waterbury CT 06710-1616 |
| Practice Telephone | 2037591371 |
| Practice Fax Number | 2035047922 |
| Mailing Telephone | 2037591371 |
| Mailing Fax Number | 2035047922 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | ERICA LESSER (OWNER) |
| Authorized Official Telephone | 2037591371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
9 HEWLETT ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174925408 | Erica Lesser | Speech-Language Pathologist | 9 Hewlett St, Waterbury, CT 06710-1616 | 2014-09-18 |
| 1780092106 | Shoshana Shapiro | Speech-Language Pathologist | 9 Hewlett St, Waterbury, CT 06710-1616 | 2014-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
| 1508127598 | Brenda Mcleod | Technician, Pathology | 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 | 2012-06-06 |
| 1659536936 | Michelle Gomes Ferreira-machado | Social Worker | 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 | 2008-07-25 |
| 1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
| 1013311554 | Chelsey Micciche | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-10-13 |
| 1972905321 | Carmen Woodcock | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-09-17 |
| 1841597663 | Avis Foster | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-14 |
| 1528364783 | Quiana Scott | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-07 |
| 1063716363 | Natalie Luciano | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| 1134423437 | Mildred Figueroa | Social Worker | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| Find all providers in zip 06710 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880124 | Sarah Lebovics | Speech-Language Pathologist | 30 Hewlett St, Waterbury, CT 06710-1615 | 2018-05-02 |
| 1427573955 | Maureen Elizabeth Keaveney | Speech-Language Pathologist | 93 Deerfield Ave, Waterbury, CT 06708-1349 | 2017-08-05 |
| 1740725266 | Ana O'neill | Speech-Language Pathologist | 2712 Theodore Roosevelt Hwy, Waterbury, VT 05676-9197 | 2016-12-20 |
| 1407232945 | Chana Wakszul | Speech-Language Pathologist | 65 Cables Ave Apt 9, Waterbury, CT 06710-1644 | 2015-08-06 |
| 1598162158 | Sarah Langsam | Speech-Language Pathologist | 46 Randolph Ave, Waterbury, CT 06710-1620 | 2014-11-25 |
| 1386085819 | Rachel Deutsch | Speech-Language Pathologist | 40 Hewlett St, Waterbury, CT 06710-1615 | 2013-07-12 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1114248960 | Esther Sonnenschein | Speech-Language Pathologist | 85 Euclid Ave, Waterbury, CT 06710-1613 | 2010-06-16 |
| 1417329327 | Kathleen Szczepanski | Speech-Language Pathologist | 22 Tompkins St, Waterbury, CT 06708-1458 | 2015-10-30 |
| 1790160422 | Elisabeth Doyle | Speech-Language Pathologist | 22 Tompkins St, Waterbury, CT 06708-1458 | 2015-07-23 |
| Find all providers in WATERBURY | ||||
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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.