MEDICARE: DYNAMICS PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	2305202401	VA

General Provider Information

NPI Number	:	1477574481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMICS PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	7210 HERITAGE VILLAGE PLZ
Second Line	:	SUITE 101
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3071
Country	:	US
Telephone Number	:	703-754-0394
Fax Number	:	703-754-0254

Provider Business Practice Location Address
First Line	:	7210 HERITAGE VILLAGE PLZ
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3071
Country	:	US
Telephone Number	:	703-754-0394
Fax Number	:	703-754-0254

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MR. DAVID SAHLEY
Credential	:	DPT
Telephone Number	:	703-754-0394

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	04/28/2008

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Directions to “DYNAMICS PHYSICAL THERAPY ” Practice Location

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