Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dynamic Physical Therapy of New Jersey PA

Organization Physical Therapist · NPI 1053719484

Dynamic Physical Therapy of New Jersey PA provides Physical Therapist services in Freehold, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Thoreau Dr Poets Sq
Freehold, NJ 07728-4329 Not confirmed with CMS for 11 years — call before visiting
Phone: (732) 303-1425
Fax: (732) 780-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01291900 (NJ)

Record details

NPI number1053719484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Bautista — Practice Administrator · (914) 309-9564
NPI enumeratedDecember 17, 2014
Last updated in NPPESDecember 17, 2014
Mailing address6248 80th St, Middle Village, NY 11379-1323

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