DYNAMISM PHYSICAL THERAPY P.C. NPI 1245881457

NPI Information

  • NPI: 1245881457
  • Provider Name: DYNAMISM PHYSICAL THERAPY, P.C.
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 6241 WOODHAVEN BLVD
    REGO PARK, NY
    ZIP 11374
  • Phone: (929) 607-3271

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NPI Details

DYNAMISM PHYSICAL THERAPY, P.C. is a pain medicine physical medicine rehabilitation in Rego Park, NY. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. DYNAMISM PHYSICAL THERAPY, P.C. NPI is 1245881457. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6241 WOODHAVEN BLVD
REGO PARK, NY
ZIP 11374-731
Phone: (929) 607-3271
Fax: (929) 607-3267

The provider's authorized official is Nino Pompeyo Rocco Altamirano Borja .
The authorized official title is Owner/ceo/pt and has the following contact phone number (908) 922-5762.

The enumeration date for this NPI number is 9/28/2019 and was last updated on 3/13/2023.

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
1225100000XPhysical TherapistNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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
106050059MEDICAIDNEW YORK

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: 3/30/2025

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