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DYNAMIC KIDS THERAPY AZ LLC
NPI 1467090597
Home Health in Phoenix, AZ

Active since December 19, 2019
3026 W FERRUCCIO PL, PHOENIX, AZ 85086(614) 270-4607 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dynamic Kids Therapy Az Llc NPPES

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

DYNAMIC KIDS THERAPY AZ LLC (NPI 1467090597) is a healthcare organization registered as a home health in Phoenix, Arizona and active in the NPI registry since December 2019. The organization lists Matthew James Clipner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467090597
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDYNAMIC KIDS THERAPY AZ LLC
Location Address3026 W FERRUCCIO PLPhoenix, AZ 85086-3217
Mailing Address3026 W Ferruccio PlPhoenix, AZ 85086-3217 · (614) 270-4607
Phone(614) 270-4607
Organization SubpartNo
Authorized OfficialMatthew James ClipnerCeo · (614) 270-4607
Enumeration DateDecember 19, 2019
✔ NPI 1467090597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3026 W FERRUCCIO PL, Phoenix, AZ 85086
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Other Identifiers 1

Medicaid699173AZ

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 Kids Therapy Az LLC's NPI number?

The NPI number for Dynamic Kids Therapy Az LLC is 1467090597. It was assigned to this organization in the NPPES registry on December 19, 2019.

Where is Dynamic Kids Therapy Az LLC located?

Dynamic Kids Therapy Az LLC is located at 3026 W Ferruccio Pl, Phoenix, AZ 85086. The listed phone number is (614) 270-4607.

What is Dynamic Kids Therapy Az LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Dynamic Kids Therapy Az LLC was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.