NEOLIFE PT AND WELLNESS
NPI 1194102434
Physical Therapist in Diberville, MS

Active since May 06, 2015
4016 CASSIMER AVE, DIBERVILLE, MS 39540(228) 280-8120 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2023, Jan 6, 2021 (2 updates tracked since 2021).

About Neolife Pt And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEOLIFE PT AND WELLNESS (NPI 1194102434) is a healthcare organization registered as a physical therapist in Diberville, Mississippi and active in the NPI registry since May 2015. The organization maintains 2 additional practice locations and lists Robert Ray Ellis, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1194102434
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameDYNAMIC REHABILITATION SERVICES LLC
Location Address4016 CASSIMER AVEDiberville, MS 39540-2309
Mailing Address4016 Cassimer AveDiberville, MS 39540-2309 · (228) 280-8120 · Fax (228) 280-8121
Organization SubpartNo
Authorized OfficialRobert Ray EllisPhysical Therapist/owner · (228) 326-1115
Enumeration DateMay 6, 2015
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1194102434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MS · PT5070
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4016 CASSIMER AVE, Diberville, MS 39540

Other Names 1

Doing Business AsNeolife Pt And Wellness

Secondary Practice Locations 2

Location 1604 Blue Meadow RdBay St Louis, MS 39520-2834 · Phone (228) 280-8120
Location 29036 Carl Legett Rd Ste BGulfport, MS 39503-6234 · Phone (228) 280-8120

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neolife Pt And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Neolife Pt And Wellness, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Physical Therapist in Private Practice
NPI 1881945566
4016 CASSIMER AVE
Diberville, MS 39540
(228) 326-1115
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1932875887
4016 CASSIMER AVE
Diberville, MS 39540
(228) 280-8120
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1235063397
4016 CASSIMER AVE
Diberville, MS 39540
(228) 280-8120
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1881378701
4016 CASSIMER AVE
Diberville, MS 39540
(228) 280-8120
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1023807385
4016 CASSIMER AVE
Diberville, MS 39540
(228) 280-8120
Same address
Physical Therapist in Private Practice
NPI 1891092722
1720A MEDICAL PARK DR STE 210
Biloxi, MS 39532
(228) 230-2663
✔ Accepts Medicare2.1 mi
Physical Therapist in Private Practice
NPI 1407372915
2541 PASS RD STE F
Biloxi, MS 39531
(228) 388-1002
✔ Accepts Medicare5.9 mi
Physical Therapist in Private Practice
NPI 1154003705
1408 INGALLS AVE
Pascagoula, MS 39567
(228) 471-5047
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1083105373
653 MYRTLE DR
Covington, LA 70433
(858) 934-7009
✔ Accepts Medicare74 mi
Physical Therapist in Private Practice
NPI 1144943978
4970 BARKSDALE BLVD STE 900
Bossier City, LA 71112
(318) 747-8892
✔ Accepts Medicare313 mi
Physical Therapist in Private Practice
NPI 1578966222
838 W DRAKE RD STE 105
Fort Collins, CO 80526
(970) 449-1300
✔ Accepts Medicare1,145 mi
Physical Therapist in Private Practice
NPI 1669252433
10861 E BASELINE RD STE A-105
Mesa, AZ 85209
(520) 231-1360
✔ Accepts Medicare1,347 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Rehabilitation Services LLC's NPI number?

The NPI number for Dynamic Rehabilitation Services LLC is 1194102434. It was assigned to this organization in the NPPES registry on May 6, 2015. The provider is doing business as Neolife Pt And Wellness.

Where is Dynamic Rehabilitation Services LLC located?

Dynamic Rehabilitation Services LLC is located at 4016 Cassimer Ave, Diberville, MS 39540. The listed phone number is (228) 280-8120.

What is Dynamic Rehabilitation Services LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Dynamic Rehabilitation Services LLC enrolled in Medicare?

Yes. Dynamic Rehabilitation Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dynamic Rehabilitation Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Dynamic Rehabilitation Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dynamic Rehabilitation Services LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Dynamic Rehabilitation Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dynamic Rehabilitation Services LLC was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.