| Dynamic Physical Therapy Services Llc | |
|
111 Elm St, Suite 103, Worcester, MA 01609-1967 | |
| (508) 799-6538 | |
| (508) 799-5535 |
| Full Name | Dynamic Physical Therapy Services Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 111 Elm St, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801952163 | NPI | - | NPPES |
| 9733451 | Medicaid | MA | |
| AA27170 | Other | MA | HARVARD PILGRIM |
| 968564 | Other | MA | NETWORK HEALTH |
| Y61418 | Other | MA | BCBS |
| 0036268 | Other | MA | NEIGHBORHOOD HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 103 (Massachusetts) | Primary |
| Provider Name | Robert Sadowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417013871 PECOS PAC ID: 2466421128 Enrollment ID: I20040929000455 |
| Provider Name | Enio Kasmi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902932999 PECOS PAC ID: 5799794723 Enrollment ID: I20060419000254 |
| Provider Name | Jennifer Gorman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770800765 PECOS PAC ID: 6901939040 Enrollment ID: I20100727000297 |
| Provider Name | Danielle Grondine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033788682 PECOS PAC ID: 2163826280 Enrollment ID: I20210811000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Physical Therapy Services Llc 111 Elm St, Suite 103, Worcester, MA 01609-1967 Ph: (508) 799-6538 | Dynamic Physical Therapy Services Llc 111 Elm St, Suite 103, Worcester, MA 01609-1967 Ph: (508) 799-6538 |
Kristin E Dymek, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Gold Star Blvd, Worcester, MA 01606 Phone: 508-856-9510 Fax: 508-853-1907 | |
Ms. Michelle Hoffmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700 | |
Ms. Jan Oliver, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700 | |
Eugene R Lambert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Millbrook St, Suite 211, Worcester, MA 01606 Phone: 508-792-9955 Fax: 508-792-9943 | |
Ms. Katharine Raasch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700 | |
Julie Ellsworth, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 484 Main St, Worcester, MA 01608 Phone: 800-244-2756 Fax: 508-831-9768 | |
Jeffrey Ragosta Jr., PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Stafford St, Worcester, MA 01603 Phone: 508-859-7207 |