Athletic Dynamics Llc

LBN: Athletic Dynamics Llc
Athletic Dynamics Llc is an health care organization with primary practice located at 7 Southwoods Blvd 4Th Fl, Athletic Dynamics Llc, Albany NY 12211-2526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Athletic Dynamics Llc can be contacted via phone (518) 641-6775, or through Vanleuven, Mark via phone (518) 641-6775.

Contact Information

Primary practice address
7 Southwoods Blvd 4Th Fl, Athletic Dynamics Llc Albany NY 12211-2526
Phone: (518) 641-6775
Fax: (518) 292-6085
Website:
Map and Directions
Authorized official contact:
Name: Vanleuven, Mark PT CSCS
Phone: (518) 641-6775

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1912966409
LBN Legal business name Athletic Dynamics Llc
DBA Doing business as
Authorized official Vanleuven, Mark PT CSCS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Nov 27th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912966409 NPPES
New York MEDICAID 02251054

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