# DYNAMIC SPINE & SPORT REHABILITATION LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386871630
- **Authorized official:** JOE INDRIERI PT (OWNER)
- **Authorized official phone:** (702) 685-1607

## Contact information

- **Practice address:** 2230 N RAINBOW BLVD, LAS VEGAS, NV 89108-7053
- **Practice address phone:** (702) 808-4943
- **Practice address fax:** (702) 968-8637
- **Mailing address:** 801 S RANCHO DR STE F4, LAS VEGAS, NV 89106-3814
- **Mailing address phone:** (702) 685-1607
- **Mailing address fax:** (702) 685-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1815 | NV | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2009
- **Last updated:** 02/25/2026