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DYNAMIC PAIN & WELLNESS LLC
NPI 1861963290
Specialist in Crestview, FL

Active since December 11, 2018
210 S MAIN ST, CRESTVIEW, FL 32536(850) 226-6801(877) 413-5104 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Dec 11, 2018 (2 updates tracked since 2018).

About Dynamic Pain & Wellness Llc NPPES

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

DYNAMIC PAIN & WELLNESS LLC (NPI 1861963290) is a healthcare organization registered as a specialist in Crestview, Florida and active in the NPI registry since December 2018. The organization lists Sarah Bailey, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1861963290
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDYNAMIC PAIN & WELLNESS LLC
Location Address210 S MAIN STCrestview, FL 32536-3737
Mailing Address210 S Main StCrestview, FL 32536-3737 · (850) 226-6801 · Fax (877) 413-5104
Phone(850) 226-6801
Fax(877) 413-5104
Organization SubpartYesParent: Dynamic Pain & Wellness Pllc
Authorized OfficialSarah BaileyCredentialing · (850) 226-6801
Enumeration DateDecember 11, 2018
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1861963290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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
Clinic/Center (Multi-Specialty)
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 1861963290. It was assigned to this organization in the NPPES registry on December 11, 2018.

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 Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dynamic Pain & Wellness LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.