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DYNAMIC REHABILITATION NPI 1043315161


NPI Information

NPI: 1043315161
Provider Name: DYNAMIC REHABILITATION
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
23232 PERALTA DR
SUITE 201
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 700-1958
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DYNAMIC REHABILITATION is an orthopedic physical therapist in Laguna Hills, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. DYNAMIC REHABILITATION NPI is 1043315161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23232 PERALTA DR
SUITE 201
LAGUNA HILLS, CA
ZIP 92653-443
Phone: (949) 700-1958
Fax: (949) 215-1961

The provider's authorized official is Joseph Ronaldo Elumba .
The authorized official title is President and has the following contact phone number (949) 300-3423.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 2/1/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistPT22423CALIFORNIANo
22251E1200XPhysical TherapistErgonomicsPT22423CALIFORNIANo
32251N0400XPhysical TherapistNeurologyPT22423CALIFORNIANo
42251X0800XPhysical TherapistOrthopedicPT22423CALIFORNIAYes
5225XN1300XOccupational TherapistNeurorehabilitationOT2859CALIFORNIANo
6225XP0019XOccupational TherapistPhysical RehabilitationOT2859CALIFORNIANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ69019ZOTHERCALIFORNIABLUE SHIELD GROUP ID

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: 11/14/2023

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