| Dynamic Pediatric Therapy, Inc. | |
|
35 Se 1st Ave Ste 200-41 Ocala FL 34471-2176 | |
| (800) 989-8080 | |
| (888) 527-9778 |
| Full Name | Dynamic Pediatric Therapy, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 35 Se 1st Ave Ste 200-41, Ocala, Florida |
| Authorized Official Name and Position | Ileana Martinez (PRESIDENT) |
| Authorized Official Contact | 8009898080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Pediatric Therapy, Inc. 35 Se 1st Ave Ste 200-41 Ocala FL 34471-2176 Ph: (800) 989-8080 | Dynamic Pediatric Therapy, Inc. 35 Se 1st Ave Ste 200-41 Ocala FL 34471-2176 Ph: (800) 989-8080 |
| NPI Number | 1487888046 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 06/18/2025 |
| Medicare PECOS PAC ID | 3779904784 |
|---|---|
| Medicare Enrollment ID | O20200529002075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487888046 | NPI | - | NPPES |
| 001392900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gladys H Urraca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194093591 PECOS PAC ID: 9830350636 Enrollment ID: I20120420000442 |
| Provider Name | Ardee Tryll Castro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982881272 PECOS PAC ID: 0042631061 Enrollment ID: I20201015002803 |
| Provider Name | Jessica Compton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518546662 PECOS PAC ID: 5193123198 Enrollment ID: I20211005003072 |
| Provider Name | Pearly Yazbek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295253938 PECOS PAC ID: 3678964111 Enrollment ID: I20211217000163 |
Siva Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2845 Se 3rd Ct, Ocala, FL 34471 Phone: 352-369-5300 Fax: 352-369-5309 | |
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