Provider Demographics
NPI:1063146447
Name:DYNAMIC BY DESIGN PROSTHETICS, PLLC
Entity type:Organization
Organization Name:DYNAMIC BY DESIGN PROSTHETICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROSTHETIST ORTHOTIST
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPO
Authorized Official - Phone:240-441-8513
Mailing Address - Street 1:5373 W ALABAMA ST STE 576
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5923
Mailing Address - Country:US
Mailing Address - Phone:832-899-4268
Mailing Address - Fax:877-559-1081
Practice Address - Street 1:5373 W ALABAMA ST STE 204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5923
Practice Address - Country:US
Practice Address - Phone:832-899-4268
Practice Address - Fax:877-559-1081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty