MEDICARE: DYNAMIC PEDIATRIC THERAPY SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1013808476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC PEDIATRIC THERAPY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1997 COVE POINT RD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-3021
Country	:	US
Telephone Number	:	386-387-9149
Fax Number	:

Provider Business Practice Location Address
First Line	:	3742 LETTUCE LN
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-8741
Country	:	US
Telephone Number	:	386-387-9149
Fax Number	:

Authorized Official
Title or Position	:	MGRM, OCCUPATIONAL THERAPIST
Name	:	CHELSEA BARTON
Credential	:	OTR/L
Telephone Number	:	386-387-9149

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

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Directions to “DYNAMIC PEDIATRIC THERAPY SOLUTIONS, LLC ” Practice Location

Language	Start Address	Practice Location

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