Dynamic Rehabilitation Services LLC
NPI 1194102434ActiveOrganization· Physical Therapist· Diberville, MS
Physical Therapist in Diberville, Mississippi, registered in NPPES in May 2015. The authorized official on file is Robert Ray Ellis, DPT, Physical Therapist/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1194102434 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2015 |
| Last updated in NPPES | Jul 5, 2023 |
| Certified by provider | Jul 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT5070 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 (MS) |
|---|
Other physical therapists in Diberville
- 1366886970
- 1396868568
- 1487548194
- 1649817388
- 1730427956
- 1881378701
- 1881945566
- 1932875887
- 1235063397
- 1437831062
- 1023807385
- 1629628524
All 17 physical therapists in Diberville · All physical therapists in Mississippi