Healthcare Provider Details

I. General information

NPI: 1235078874
Provider Name (Legal Business Name): DYNAMIS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 CARLEY RD STE 10-12
SPRINGDALE AR
72762-5910
US

IV. Provider business mailing address

5758 HAR BER AVE
SPRINGDALE AR
72762-7832
US

V. Phone/Fax

Practice location:
  • Phone: 479-318-1660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA STALDER
Title or Position: OWNER
Credential:
Phone: 479-263-1570