OrganizationActive
Dynamic Pain & Wellness LLC
NPI 1861963290 · Specialist · Crestview, FL
Provider details
- NPI number
- 1861963290
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Dynamic Pain & Wellness PLLC
- Organization subpart
- Yes
- Authorized official
- Sarah Bailey, Credentialing(850) 226-6801
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
210 S Main St
Crestview, FL 32536-3737
Phone: (850) 226-6801
Fax: (877) 413-5104
Street-level locationGet directions
Mailing address
210 S Main St
Crestview, FL 32536-3737
Registry dates
- Enumerated
- 2018-12-11
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.