Provider Demographics
NPI:1184413619
Name:COREDYNAMICS PHYSICAL THERAPY AND ERGONOMICS INC
Entity type:Organization
Organization Name:COREDYNAMICS PHYSICAL THERAPY AND ERGONOMICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HIMANI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-238-2174
Mailing Address - Street 1:6756 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2605
Mailing Address - Country:US
Mailing Address - Phone:660-238-2174
Mailing Address - Fax:
Practice Address - Street 1:6756 HICKORY LN
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2605
Practice Address - Country:US
Practice Address - Phone:660-238-2174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty