DYNAMIC PHYSICAL THERAPY LLC
NPI 1861682296
Clinic/Center - Physical Therapy in Pawcatuck, CT

Active since August 01, 2007
158 SOUTH BROAD STREET, PAWCATUCK, CT 06379(860) 599-0819(860) 599-0871 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2017, Feb 23, 2017 (2 updates tracked since 2017).

  • Organization
  • Clinic/Center
  • Physical Therapy

About DYNAMIC PHYSICAL THERAPY LLC

This page provides the complete NPI Profile along with additional information for Dynamic Physical Therapy Llc, a provider established in Pawcatuck, Connecticut operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1861682296 assigned on August 2007. The practitioner's primary taxonomy code is 261QP2000X with license number 004925 (CT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Elizabeth E. Gross P.t. (Owner/physical Therapist)

NPI
1861682296 Verify this NPI
Provider Name
DYNAMIC PHYSICAL THERAPY LLC
Entity Type
Organization
Location Address
158 SOUTH BROAD STREET PAWCATUCK, CT 06379
Location Phone
(860) 599-0819
Location Fax
(860) 599-0871
Mailing Address
158 SOUTH BROAD STREET PAWCATUCK, CT 06379
Mailing Phone
(860) 599-0819
Mailing Fax
(860) 599-0871
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2007
Last Update Date
12-07-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
004925
License State
CT
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ELIZABETH E. GROSS P.T.

Authorized Official Title
OWNER/PHYSICAL THERAPIST
Authorized Official Phone
(860) 599-0819

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
158 SOUTH BROAD STREET, DYNAMIC PHYSICAL THERAPY LLC
PAWCATUCK, CT 06379
Physical Therapist
158 SOUTH BROAD STREET
PAWCATUCK, CT 06379

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861682296, enumerated as an "organization" on August 01, 2007.

The provider is located at 158 SOUTH BROAD STREET PAWCATUCK, CT 06379 and the phone number is (860) 599-0819.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.