DYNAMIC PHYSICAL THERAPY SERVICES LLC
NPI 1801952163
Physical Therapist in Worcester, MA
About Dynamic Physical Therapy Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYNAMIC PHYSICAL THERAPY SERVICES LLC (NPI 1801952163) is a healthcare organization registered as a physical therapist in Worcester, Massachusetts and active in the NPI registry since December 2006. The organization lists Michael Buslov, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dynamic Physical Therapy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Dynamic Physical Therapy Services LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Physical Therapy Services LLC's NPI number?
The NPI number for Dynamic Physical Therapy Services LLC is 1801952163. It was assigned to this organization in the NPPES registry on December 29, 2006.
Where is Dynamic Physical Therapy Services LLC located?
Dynamic Physical Therapy Services LLC is located at 111 Elm St Suite 103, Worcester, MA 01609. The listed phone number is (508) 799-6538.
What is Dynamic Physical Therapy Services LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Dynamic Physical Therapy Services LLC enrolled in Medicare?
Yes. Dynamic Physical Therapy Services LLC is registered in the Medicare PECOS enrollment system.
When is Dynamic Physical Therapy Services LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dynamic Physical Therapy Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Dynamic Physical Therapy 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dynamic Physical Therapy Services LLC was last updated on August 22, 2020. 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.
# Dynamic Physical Therapy Services Llc · NPI 1801952163
Physical Therapist organization in Worcester, Massachusetts. Organization record, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1801952163 (Entity type: Organization)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Michael Buslov, PARTNER
## Practice location
- **Address:** 111 ELM ST, SUITE 103, Worcester, MA 01609-1967
- **Phone:** (508) 799-6538 · **Fax:** (508) 799-5535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Massachusetts, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 968564 (MA); Other Y61418 (MA); Other AA27170 (MA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1801952163) · Data from the CMS NPPES public registry.