DYNAMIC PEDIATRIC THERAPY, INC.
NPI 1083916787
Contractor in Homestead, FL

Active since December 01, 2010
15600 SW 288TH ST STE 202, HOMESTEAD, FL 33033(305) 242-9424 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2025, Oct 20, 2021, Jan 11, 2019 (3 updates tracked since 2019).

  • Organization
  • Contractor

About DYNAMIC PEDIATRIC THERAPY, INC.

This page provides the complete NPI Profile along with additional information for Dynamic Pediatric Therapy, Inc., a provider established in Homestead, Florida operating as a Contractor. The healthcare provider is registered in the NPI registry with number 1083916787 assigned on December 2010. The practitioner's primary taxonomy code is 171W00000X with license number OTA11461 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. Dynamic Pediatric Therapy, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ileana Martinez (President)

NPI
1083916787 Verify this NPI
Provider Name
DYNAMIC PEDIATRIC THERAPY, INC.
Other Name Type
(6)
Entity Type
Organization
Location Address
15600 SW 288TH ST STE 202 HOMESTEAD, FL 33033
Location Phone
(305) 242-9424
Mailing Address
3581 NE 11 DR NONE HOMESTEAD, FL 33033
Mailing Phone
(954) 682-7633
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2010
Last Update Date
11-06-2025
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Location Map

Secondary Locations

  • 14400 NW 77 CT Suite 100
    Miami Lakes, FL 33016
    (305) 242-9424

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

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
License No.
OTA11461
License State
FL
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

ILEANA MARTINEZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(305) 242-9424

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
001392900MEDICAID (05)FL 

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Occupational Therapist
15600 SW 288TH ST STE 202
HOMESTEAD, FL 33033
Speech-Language Pathologist
15600 SW 288TH ST STE 202
HOMESTEAD, FL 33033
Psychiatry & Neurology (Psychiatry)
15600 SW 288TH ST STE 202
HOMESTEAD, FL 33033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083916787, enumerated as an "organization" on December 01, 2010.

The provider is located at 15600 SW 288TH ST STE 202 HOMESTEAD, FL 33033 and the phone number is (305) 242-9424.

Contractor with taxonomy code 171W00000X.

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