Dynamic Physiatry, Pllc

LBN: Dynamic Physiatry, Pllc
Dynamic Physiatry, Pllc is an health care organization with primary practice located at 2015 Ayrsley Town Blvd , Charlotte NC 28273-4067. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Dynamic Physiatry, Pllc can be contacted via phone (336) 609-0499, or through Otey, Joanne via phone (336) 609-0499.

Contact Information

Primary practice address
2015 Ayrsley Town Blvd Charlotte NC 28273-4067
Phone: (336) 609-0499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Otey, Joanne
Phone: (336) 609-0499

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2008-00366 North Carolina

Profile Details

NPI number 1598293714
LBN Legal business name Dynamic Physiatry, Pllc
DBA Doing business as
Authorized official Otey, Joanne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2017
Last updated Oct 8th, 2025 - about last year

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 1598293714 NPPES
North Carolina MEDICAID 5909721

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