DYNAMIC PEDIATRIC THERAPY, INC. (NPI# 1083916787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083916787 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PEDIATRIC THERAPY, INC. |
| Practice Address |
14400 Nw 77 Ct Suite 100 Miami Lakes FL 33016 |
| Mailing Address |
600 Ne 22 Terr Suite 205 Homestead FL 33033 |
| Practice Telephone | 3052429424 |
| Mailing Telephone | 3054316420 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | ILEANA MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 3052429424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | OTA11461 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001392900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487888046 | Dynamic Pediatric Therapy, Inc. | Occupational Therapy Assistant | 14400 Nw 77 Ct Suite 100, Miami Lakes, FL 33016 | 2009-05-12 |
| Street Address |
14400 NW 77 CT SUITE 100 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487888046 | Dynamic Pediatric Therapy, Inc. | Occupational Therapy Assistant | 14400 Nw 77 Ct Suite 100, Miami Lakes, FL 33016 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174076194 | Ricardo Gonzalez | Contractor | 4720 Nw 167th St, Miami Lakes, FL 33014-6427 | 2016-07-26 |
| 1417305053 | Aliana Manso Ruiz | Contractor | 15495 Miami Lakeway N Apt 104, Miami Lakes, FL 33014-5524 | 2016-05-24 |
| 1730326596 | New Action Technologies Inc | Contractor | 8004 Nw 154th St Ste 567, Miami Lakes, FL 33016-5814 | 2009-01-15 |
| 1417129735 | Lucero Lopez | Contractor | 15010 Dunbarton Pl, Miami Lakes, FL 33016-1417 | 2008-03-26 |
| 1326463621 | Seran Ramkissoon | Contractor | 5979 Nw 151st St, Miami Lakes, FL 33014-2400 | 2014-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI LAKES |
| Zip Code | 33016 |
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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.