DYNAMIC PHYSICAL THERAPY CENTER NPI 1386770659

NPI Information

  • NPI: 1386770659
  • Provider Name: DYNAMIC PHYSICAL THERAPY CENTER
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 313 E WESTFIELD AVE
    ROSELLE PARK, NJ
    ZIP 07204
  • Phone: (908) 620-1991

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NPI Details

DYNAMIC PHYSICAL THERAPY CENTER is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Roselle Park, NJ. DYNAMIC PHYSICAL THERAPY CENTER NPI is 1386770659. The provider is registered as an organization entity type.

The provider's business location address is:

313 E WESTFIELD AVE
ROSELLE PARK, NJ
ZIP 07204-317
Phone: (908) 620-1991
Fax: (908) 620-9777

The provider's authorized official is Shawn Davis A .
The authorized official title is Administrator and has the following contact phone number (908) 620-1991.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.

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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

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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