Organization
DYNAMIC THERAPY SERVICES LLC
Active
Other names
Pivot Physical Therapy of Mid Atlantic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (DIRECTORY, CREDENTIALING)
(630) 575-1980
Entity
Organization
Contact information
Practice address
632 W STEIN HWY, SEAFORD, DE 19973-1204
(302) 629-5700
(302) 629-6001
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(252) 248-3313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01284117
AMERIGROUP
MD
05
—
1022275170001
—
PA
01
—
1160732
KMHP
PA
05
—
1205875093
—
DE
01
—
1836333
HIGHMARK PABS
PA
01
—
2158175
HIGHMARK PABS
PA
01
—
2158186
BCBS DE
DE
01
—
235020
UNISON
—
01
—
2519840
BCBS DE
DE
01
—
2835283000
IBC PC
PA
01
—
3739248000
IBC PC
DE
01
—
50065703
CBC
—
05
—
6089003
—
MD
01
—
AA44-0000
CAREFIRST
MD
Enumeration date
06/06/2006
Last updated
05/15/2026
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