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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Pain & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20170322002936DME · Physician - Family PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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