Organization
DYNAMISM PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINO POMPEYO ROCCO ALTAMIRANO BORJA PT, DPT (OWNER/CEO/PT)
(908) 922-5762
Entity
Organization
Contact information
Practice address
6241 WOODHAVEN BLVD, REGO PARK, NY 11374-3731
(929) 607-3271
(929) 607-3267
Mailing address
245 WOODFIELD RD, WEST HEMPSTEAD, NY 11552-2528
(908) 922-5762
(515) 565-0929
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06050059
—
NY
Enumeration date
09/28/2019
Last updated
07/28/2025
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