DYNAMIC PHYSICAL THERAPY LLC (NPI# 1932595691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932595691 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PHYSICAL THERAPY LLC |
| Practice Address |
1265 E Fort Union Blvd Ste 110 Cottonwood Heights UT 84047-1807 |
| Mailing Address |
1265 E Fort Union Blvd Ste 110 Cottonwood Heights UT 84047-1808 |
| Practice Telephone | 8014501881 |
| Mailing Telephone | 8018490198 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-07-03 |
| Authorized Official Name | DR. MATTHEW S NELSON (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8014501881 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
9321575-0160 | UT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760815971 | Dynamic Physical Therapy LLC | Clinic/Center | 11757 S Highway 6 Ste 1, Gretna, NE 68028-8077 | 2013-08-12 |
| 1215085410 | Dynamic Physical Therapy LLC | Physical Therapist | 2506 Acorn St, Suite B, Fort Pierce, FL 34947-4750 | 2007-01-07 |
| 1295349413 | Dynamic Physical Therapy LLC | Physical Therapist | 5775 N Union Blvd, Colorado Springs, CO 80918-1744 | 2020-09-04 |
| 1861682296 | Dynamic Physical Therapy LLC | Clinic/Center | 158 South Broad Street, Pawcatuck, CT 06379-1925 | 2007-08-01 |
| 1063571883 | Dynamic Physical Therapy LLC | Physical Therapist | 2855 International Cir, Colorado Springs, CO 80910-3144 | 2006-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DYNAMIC PHYSICAL THERAPY LLC | 3065 Timberline Dr, West Richland, WA 99353-6204 |
| Street Address |
1265 E FORT UNION BLVD STE 110 |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84047-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852288 | Taylor Tawzer | Massage Therapist | 1265 E Fort Union Blvd Ste 110, Cottonwood Heights, UT 84047-1807 | 2019-10-09 |
| 1134770209 | Ariel Branden | Physical Therapist | 1265 E Fort Union Blvd Ste 110, Cottonwood Heights, UT 84047-1807 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114055837 | Performance Rehab Clinic-salt Lake | Clinic/Center | 7827 S Highland Dr, Cottonwood Heights, UT 84121-5032 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1487261707 | Precision Jointcare LLC | Clinic/Center | 12523 S Creek Meadow Rd Ste 109, Riverton, UT 84065-7299 | 2020-09-30 |
| 1184231664 | Mountain Strong Spine and Performance | Clinic/Center | 1478 N 4925 W, Plain City, UT 84404-8300 | 2020-09-28 |
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1215557434 | Basin Therapy LLC | Clinic/Center | 101 E 1875 S, Roosevelt, UT 84066-3828 | 2020-04-17 |
| 1780222893 | Well Being Pelvic Physical Therapy | Clinic/Center | 111 E 5600 S Ste 222, Murray, UT 84107-8164 | 2019-12-19 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1598229155 | Neurorev Pllc | Clinic/Center | 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 | 2019-01-29 |
| 1104395821 | Color Country Physical Therapy LLC | Clinic/Center | 450 E Clinic Way, Ste B, Parowan, UT 84761 | 2018-11-26 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84047 |
Please comment or provide details below to improve the information on DYNAMIC PHYSICAL THERAPY LLC.
| 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.