Dynamic Therapy – Pediatric Rehabilitation Medicine Physician, NPI 1487888046
Pediatric Rehabilitation Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Dynamic Therapy
600 NE 22 TERR SUITE 205
HOMESTEAD, FL 33033
Phone: (305) 242-9424
Type: Mailing
14400 NW 77 CT SUITE 100
MIAMI LAKES, FL 33016
Phone: (305) 242-9424
Type: Location
35 SE 1ST AVE STE 200-41
OCALA, FL 344712176
Phone: (800) 989-8080
Fax: (888) 527-9778
Type: Mailing
15600 SW 288TH ST STE 202
HOMESTEAD, FL 330331243
Phone: (305) 242-9424
Fax: (305) 400-0231
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (10 days ago).
Enrollment records
1
Earliest due date
2026-05-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200529002075 | O | Physical/Occupational Therapy Group In Private Practice | FL | 2026-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33033)
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