Dynamic Spine & Sport Rehabilitation LLC
NPI 1386871630 · Physical Rehabilitation Occupational Therapist · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dynamic Spine & Sport Rehabilitation LLC is a Physical Rehabilitation Occupational Therapist organization in Las Vegas, NV (NPI 1386871630).
Provider details
- NPI number
- 1386871630
- Entity type
- Organization
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Joe Indrieri, Owner(702) 685-1607
- License
- 1815 (NV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 105 N Pecos Rd Ste 130Henderson, NV 89074-1995Phone: (702) 808-4943
- 5495 S Rainbow Blvd Ste 102Las Vegas, NV 89118-1872Phone: (585) 305-9810
Registry dates
- Enumerated
- 2009-06-14
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Frequently asked questions
- What is Dynamic Spine & Sport Rehabilitation LLC's NPI number?
- Dynamic Spine & Sport Rehabilitation LLC's National Provider Identifier (NPI) is 1386871630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dynamic Spine & Sport Rehabilitation LLC?
- Dynamic Spine & Sport Rehabilitation LLC is classified in the NPPES registry as Physical Rehabilitation Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Dynamic Spine & Sport Rehabilitation LLC located?
- Dynamic Spine & Sport Rehabilitation LLC's practice location on file with NPPES is 2230 N Rainbow Blvd, Las Vegas, NV 89108-7053.
- What is Dynamic Spine & Sport Rehabilitation LLC's phone number?
- The practice phone number listed in the NPPES registry for Dynamic Spine & Sport Rehabilitation LLC is (702) 808-4943.
- Does Dynamic Spine & Sport Rehabilitation LLC accept Medicare?
- Dynamic Spine & Sport Rehabilitation LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dynamic Spine & Sport Rehabilitation LLC?
- The authorized official listed on Dynamic Spine & Sport Rehabilitation LLC's NPPES record is Joe Indrieri, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dynamic Spine & Sport Rehabilitation LLC's NPI active?
- Yes — Dynamic Spine & Sport Rehabilitation LLC's NPI (1386871630) is active in the NPPES registry as of the last update on 2026-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.