Dynamic Physical Therapy and Wellness Center, LLC
NPI 1184054082ActiveOrganization· Physical Therapist· Bergenfield, NJ
Physical Therapist in Bergenfield, New Jersey, registered in NPPES in November 2013. The authorized official on file is Danilo Oporto Cabusas, P.T., Secretary. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1184054082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2013 |
| Last updated in NPPES | Nov 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA00530700 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NJ) |
|---|
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