MEDICARE: DYNAMIC PHYSICAL THERAPY AND SPORTS PERFORMANCE

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1962142562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC PHYSICAL THERAPY AND SPORTS PERFORMANCE

Provider Business Mailing Address
First Line	:	PO BOX 261
Second Line	:
City	:	KIMBERLING CITY
State	:	MO
Zip	:	65686-0261
Country	:	US
Telephone Number	:	417-272-3909
Fax Number	:	417-272-3918

Provider Business Practice Location Address
First Line	:	16914 STATE HIGHWAY 13
Second Line	:
City	:	BRANSON WEST
State	:	MO
Zip	:	65737-9670
Country	:	US
Telephone Number	:	417-272-3909
Fax Number	:	417-272-3918

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MS. PATRICIA A MARTINEZ
Credential	:
Telephone Number	:	417-894-3948

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	04/05/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1851119143 — ASHLEY STANPHILL DPT
Practice Location Address:

16914 STATE HIGHWAY 13
BRANSON WEST, MO
65737-9670

Practice Phone: 417-272-3909
Practice Fax:

1457177354 — CORY PAUL PICHOFF PTA
Practice Location Address:

16914 STATE HIGHWAY 13
REEDS SPRING, MO
65737-9670

Practice Phone: 417-272-3909
Practice Fax:

1215648100 — BRANDON DREW
Practice Location Address:

203 WEST ST
STANWOOD, IA
52337-9670

Practice Phone: 319-334-0672
Practice Fax:

1801894720 — WOMEN'S HEALTH & MEDICAL SURGICAL SERVICES
Practice Location Address:

HC 6 BOX 11016 , EAST STATE HIGHWAY 76
BRANSON WEST, MO
65737-9806

Practice Phone: 417-272-0505
Practice Fax: 417-272-3020

1346231743 — MRS. LALONNIE MARIE GROVES MA, LPC, NCC
Practice Location Address:

16208 MISSOURI HIGHWAY 13
BRANSON WEST, MO
65737

Practice Phone: 417-860-4064
Practice Fax:

Directions to “DYNAMIC PHYSICAL THERAPY AND SPORTS PERFORMANCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.