Dynamic Therapy Services LLC
NPI 1205875093ActiveOrganization· Physical Therapist· Seaford, DE
Physical Therapist in Seaford, Delaware, registered in NPPES in June 2006. The authorized official on file is Juana Granados, Directory, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1205875093 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2006 |
| Last updated in NPPES | May 15, 2026 |
| Certified by provider | May 15, 2026 |
| Reactivated | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Rehabilitation | 261QR0400X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (PA) |
|---|
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