Organization
DYNAMIC CARE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN BORRES PT (PRESIDENT)
(201) 558-0808
Entity
Organization
Contact information
Practice address
1625 KENNEDY BLVD, NORTH BERGEN, NJ 07047-6302
(201) 558-0808
(201) 558-0877
Mailing address
43 GREYHOUND CT, KENDALL PARK, NJ 08824-1492
(201) 558-0808
(201) 558-0877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00766400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066705
MEDICARE PROVIDER NUMBER (INDIVIDUAL)
NJ
01
—
40QA00766400
NEW JERSEY PHYSICAL THERAPY LICENSE NUMBER
NJ
Enumeration date
08/11/2010
Last updated
08/11/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up