DYNAMIC THERAPY INC. NPI 1003843442

NPI Information

  • NPI: 1003843442
  • Provider Name: DYNAMIC THERAPY, INC.
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 2920 RIDGEPINE DR
    APEX, NC
    ZIP 27502
  • Phone: (919) 363-5000

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NPI Details

DYNAMIC THERAPY, INC. is a speech language pathologist in Apex, NC. The provider is 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. DYNAMIC THERAPY, INC. NPI is 1003843442. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2920 RIDGEPINE DR
APEX, NC
ZIP 27502-934
Phone: (919) 363-5000
Fax: (919) 353-5346

The provider's authorized official is Jennifer C Credle .
The authorized official title is Owner, Director and has the following contact phone number (919) 363-5000.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 12/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatrics3786NORTH CAROLINANo
22251P0200XPhysical TherapistPediatrics2215NORTH CAROLINANo
32251P0200XPhysical TherapistPediatrics2152NORTH CAROLINANo
42251P0200XPhysical TherapistPediatrics1311NORTH CAROLINANo
5225XP0200XOccupational TherapistPediatrics4734NORTH CAROLINANo
6225XP0200XOccupational TherapistPediatrics4215NORTH CAROLINANo
7225XP0200XOccupational TherapistPediatrics5261NORTH CAROLINANo
8235Z00000XSpeech-Language Pathologist6205NORTH CAROLINAYes
9235Z00000XSpeech-Language Pathologist6426NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17207861MEDICAIDNORTH CAROLINA
27207890MEDICAIDNORTH CAROLINA
38300158MEDICAIDNORTH CAROLINA
47210370MEDICAIDNORTH CAROLINA
57412015MEDICAIDNORTH CAROLINA
67201000MEDICAIDNORTH CAROLINA
77201106MEDICAIDNORTH CAROLINA
87211723MEDICAIDNORTH CAROLINA
97301807MEDICAIDNORTH CAROLINA
107210194MEDICAIDNORTH CAROLINA
11731037UMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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