DYNAMIC PHYSICAL THERAPY AND SPORTS REHAB
NPI 1053884379
Clinic/Center - Physical Therapy in New York, NY

Active since January 09, 2019
5049 BROADWAY, NEW YORK, NY 10034(213) 884-5987 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2019, Jan 9, 2019 (2 updates tracked since 2019).

  • Organization
  • Clinic/Center
  • Physical Therapy

About DYNAMIC PHYSICAL THERAPY AND SPORTS REHAB

This page provides the complete NPI Profile along with additional information for Dynamic Physical Therapy And Sports Rehab, a provider established in New York, New York operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1053884379 assigned on January 2019. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Kinchin Nonog (Owner)

NPI
1053884379 Verify this NPI
Provider Name
DYNAMIC PHYSICAL THERAPY AND SPORTS REHAB
Entity Type
Organization
Location Address
5049 BROADWAY NEW YORK, NY 10034
Location Phone
(213) 884-5987
Mailing Address
5049 BROADWAY NEW YORK, NY 10034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2019
Last Update Date
02-01-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KINCHIN NONOG

Authorized Official Title
OWNER
Authorized Official Phone
(213) 884-5987

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PENDINGMEDICAID (05)NY 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
5049 BROADWAY
NEW YORK, NY 10034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053884379, enumerated as an "organization" on January 09, 2019.

The provider is located at 5049 BROADWAY NEW YORK, NY 10034 and the phone number is (213) 884-5987.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.