Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dynamic Physical Therapy of New Jersey PA

Organization Physical Therapist · NPI 1053719484

Dynamic Physical Therapy of New Jersey PA is a Physical Therapist 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
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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