Dynamic Therapy Services LLC
NPI 1508404039ActiveOrganization· Occupational Therapist· Lewes, DE
Occupational Therapist in Lewes, Delaware, registered in NPPES in December 2019. The authorized official on file is Tasheda Broughton, PESC, Manager, Credentialing. Enrolled in Medicare as dme supplier - independently-practicing occupational therapist.
Overview
| NPI | 1508404039 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2019 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
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 DME Supplier - Independently-Practicing Occupational Therapist (DE) |
|---|
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