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DYNAMIC PAIN & WELLNESS LLC
NPI 1821531013
Clinic/Center - Multi-Specialty in Crestview, FL

Active since November 21, 2016
210 S MAIN ST, CRESTVIEW, FL 32536(850) 226-6801(877) 413-5104 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2026, Mar 10, 2020, Jun 5, 2019 and 3 more (6 updates tracked since 2016).

About Dynamic Pain & Wellness Llc NPPES

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

DYNAMIC PAIN & WELLNESS LLC (NPI 1821531013) is a healthcare organization registered as a multi-specialty in Crestview, Florida and active in the NPI registry since November 2016. The organization lists Mathew Mccune, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821531013
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDYNAMIC PAIN & WELLNESS LLC
Location Address210 S MAIN STCrestview, FL 32536-3737
Mailing Address930 Mar Walt Drive, Unit CCrestview, FL 32539-7356 · (850) 226-6801 · Fax (877) 413-5104
Phone(850) 226-6801
Fax(877) 413-5104
Organization SubpartNo
Authorized OfficialMathew MccuneCeo · (850) 226-6801
Enumeration DateNovember 21, 2016
Last NPPES UpdateMay 8, 20266 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1821531013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
210 S MAIN ST, Crestview, FL 32536
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMIR AHMADIAN D.O.
Physical Medicine & Rehabilitation
210 S MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 226-6801
ROBERT LANCE WHORTON PT, MS, MTC
Physical Therapist
210 S MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 226-6801
GABRIELLA JONES
Nurse Practitioner (Family)
210 S MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 226-6801
TANYA TAMIKA JENKINS FNP
Nurse Practitioner (Family)
210 S MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 226-6801
DYNAMIC PAIN & WELLNESS LLC
Specialist
210 S MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 226-6801
MRS. MINDY GRAY SUTTON APRN
Nurse Practitioner (Family)
210 S MAIN ST
CRESTVIEW, FL 32536
Okaloosa County (850) 226-6801

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 Pain & Wellness LLC's NPI number?

The NPI number for Dynamic Pain & Wellness LLC is 1821531013. It was assigned to this organization in the NPPES registry on November 21, 2016.

Where is Dynamic Pain & Wellness LLC located?

Dynamic Pain & Wellness LLC is located at 210 S Main St, Crestview, FL 32536. The listed phone number is (850) 226-6801.

What is Dynamic Pain & Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Dynamic Pain & Wellness LLC was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.