Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYNAMIC SPINE & SPORT REHABILITATION LLC
Deactivated OrganizationDYNAMIC SPINE & SPORT REHABILITATION LLC is a Physical Rehabilitation Occupational Therapist organization located in LAS VEGAS, Nevada. NPI 1386871630 is deactivated in the NPPES registry. Verify at CMS.
Physical Rehabilitation Occupational Therapist · LAS VEGAS, NV
This NPI has been deactivated.
The record was deactivated on October 26, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1386871630
- Provider Type
- Organization
- NPI Issued
- Jun 14, 2009 (11.367123287671 yrs)
- Last Updated
- Feb 25, 2026
- Deactivated
- Oct 26, 2020
- License
-
1815 (NV)
Practice Information
- Address
-
2230 N RAINBOW BLVDLAS VEGAS, NV, 891087053Browse NV providers · Browse ZIP 89108
- Phone
- 7028084943
- Fax
- 7029688637
- Primary Specialty
-
Physical Rehabilitation Occupational Therapist
225XP0019X
- Additional Specialty
- Physical Rehabilitation Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.