Dynamic Connections, Inc.
NPI 1265791503ActiveOrganization· Psychologist, Cognitive & Behavioral· Maplewood, MN
Psychologist, Cognitive & Behavioral in Maplewood, Minnesota, registered in NPPES in May 2012. The authorized official on file is Kristi Kay Worrell, OTR/L, RDI (C)CERT, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1265791503 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2012 |
| Last updated in NPPES | Aug 24, 2020 |
| Certified by provider | Aug 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | — | — |
| Clinic/Center, Rehabilitation | 261QR0400X | — | — |
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 - Clinic/Group Practice (MN); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MN) |
|---|
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