Dynamic Physical Therapy of New Jersey P.A.
NPI 1053719484ActiveOrganization· Physical Therapist· Freehold, NJ
Physical Therapist in Freehold, New Jersey, registered in NPPES in December 2014. The authorized official on file is Christopher Anthony Bautista, Practice Administrator.
Overview
| NPI | 1053719484 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2014 |
| Last updated in NPPES | Dec 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01291900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Freehold
- 1861736365
- 1861966129
- 1568219954
- 1356647648
- 1215223854
- 1093539827
- 1306481346
- 1972650331
- 1780291336
- 1033639976
- 1467926246
- 1285302992