Provider Demographics
NPI:1780563486
Name:DYNAMIC MOVES PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:DYNAMIC MOVES PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDALMONUM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:164-638-9117
Mailing Address - Street 1:2151 SEIPSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:FOGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18051-2022
Mailing Address - Country:US
Mailing Address - Phone:347-343-5568
Mailing Address - Fax:347-343-5568
Practice Address - Street 1:2151 SEIPSTOWN RD
Practice Address - Street 2:
Practice Address - City:FOGELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18051-2022
Practice Address - Country:US
Practice Address - Phone:347-343-5568
Practice Address - Fax:347-343-5568
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC MOVES PHYSICAL THERAPY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty