DYNAMIC PERFORMANCE AND REHAB, LLC (NPI# 1073030375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073030375 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PERFORMANCE AND REHAB, LLC |
| Practice Address |
12 Industrial Ln Johnston RI 02919-3126 |
| Practice Telephone | 4017020293 |
| Mailing Telephone | 4017020293 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | KARL BUSCH (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4017020293 |
| Authorized Official Credential | DPT, PT |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9 Lincoln Ave, Coventry, RI 028167748 | (401) 702-0293 |
| Street Address |
12 INDUSTRIAL LN |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| 1265661417 | Maulik Kotdawala | Dentist | 1384 Atwood Ave, Johnston, RI 02919 | 2009-07-09 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663475 | Confluent Therapy Solutions, LLC | Clinic/Center | 14 Lunn St, Riverside, RI 02915-1628 | 2020-09-15 |
| 1407489107 | Mary Ann Frances Panarello | Clinic/Center | 501 Great Rd Ste 108, North Smithfield, RI 02896-6833 | 2020-02-20 |
| 1841853132 | Peak Physical Therapy, LLC | Clinic/Center | 175 Nate Whipple Hwy Ste 101, Cumberland, RI 02864-1422 | 2019-04-22 |
| 1316403165 | Restore Physical Therapy, LLC | Clinic/Center | 10 Worthington Rd Ste J, Cranston, RI 02920-7951 | 2019-02-18 |
| 1497222749 | Evolve Physical Therapy, LLC | Clinic/Center | 6 Barn Dr, Cumberland, RI 02864-4106 | 2018-10-25 |
| 1184052185 | Nestor Physical Therapy LLC | Clinic/Center | 261 Main St Ste 101, North Smithfield, RI 02896-7919 | 2013-10-29 |
| 1538443866 | Arc Therapy Services LLC | Clinic/Center | 600 Centre of New England Blvd, Coventry, RI 02816-2808 | 2011-10-05 |
| 1184958548 | Complete Body Physical Therapy, P.C. | Clinic/Center | 1452 Broncos Hwy, Suite 3, Burrillville, RI 02830-1660 | 2009-10-01 |
| 1871734616 | Muldowney Physical Therapy, Inc. | Clinic/Center | 312 Old County Rd, Smithfield, RI 02917-3512 | 2009-03-06 |
| 1871766691 | Contrology LLC | Clinic/Center | 5600 Post Rd Ste 116, East Greenwich, RI 02818-3400 | 2008-04-13 |
| 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.