DYNAMIC HEALTH PHYSICAL THERAPY


Address: 35 Tower Lane, Suite 110, Avon, CT 06001-4237
Phone: 8604042549

DYNAMIC HEALTH PHYSICAL THERAPY (NPI# 1700221371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700221371
Entity Type Organization
Organization Name DYNAMIC HEALTH PHYSICAL THERAPY
Practice Address 35 Tower Lane
Suite 110
Avon
CT 06001-4237
Practice Telephone 8604042549
Practice Fax Number 8604042621
Mailing Telephone 8604042549
Mailing Fax Number 8604042621
Enumeration Date 2013-05-08
Last Update Date 2019-09-04
Authorized Official Name MR. CHRISTOPHER ROBERTS (PHYSICAL THERAPIST/OWNER)
Authorized Official Telephone 8609304924
Authorized Official Credential P.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
006036 CT Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations DYNAMIC HEALTH PHYSICAL THERAPY AND WELLNESS LLC 12 Waterside Court, Avon, CT 06001

Office Location

Street Address 35 TOWER LANE
SUITE 110
City AVON
State CT
Zip Code 06001-4237

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1740822063 I E Consulting, LLC Home Health 1-5 East Main Street, Avon, CT 06001 2019-10-09
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1194220996 Theresa L. Hixson Social Worker 152 Simsbury Rd., Building 9, Avon, CT 06001 2018-03-26
1851809974 Kathleen Ann Subasic Occupational Therapist 19 Stockbridge Dr, Avon, CT 06001 2018-01-11
1801254297 Vanessa Brodie Psychologist 395 W Avon Rd Ste 1, Avon, CT 06001 2016-02-01
1346614468 Bryan Lilley Physical Therapist 34 Dale Rd., 202, Avon, CT 06001 2015-12-01
1073947446 Rahel K. Saroff Counseling Services LLC Counselor 7 Towpath Lane, Avon, CT 06001 2013-08-21
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740475441 Richard G Weber Clinic/Center 7114 Galen Dr W, Suite 200, Avon, IN 46123-8658 2007-09-06
1194851444 Brian Albert Magna Sr. Clinic/Center 302 W. Main Street, Suite 152, Avon, CT 06001 2007-02-23
1578597654 Physical Therapy, Inc Clinic/Center 7114 Galen Dr W Ste 200, Avon, IN 46123-8658 2006-07-11
1396162095 Cleveland Clinic Foundation Clinic/Center 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 2014-03-20
1407272560 Cleveland Clinic Clinic/Center 33100 Cleveland Clinic Blvd, Avw1-pt, Avon, OH 44011 2014-03-13
1609125137 Megan Lease Clinic/Center 301 Satoril Pkwy, Avon, IN 46123-6406 2012-08-30
1174852479 Allstar Therapy, LLC Clinic/Center 51 E Main St, Avon, CT 06001-3821 2009-12-15
1548411234 Magna Physical Therapy & Golf Medicine Center, LLC Clinic/Center 302 W Main St, Suite 204, Avon, CT 06001-3681 2008-10-01
1447435052 Mountain Physical Therapy and Sports Medicine, LLC Clinic/Center 31 Ensign Dr, A, Avon, CT 06001-3773 2008-01-02
1184775827 Keith Mccarroll Clinic/Center 100 W. Beaver Creek Blvd, 204, Avon, CO 81620 2007-01-16
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Competitor

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City AVON
Zip Code 06001

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Dataset Information

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.

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