Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Dynamic Medical and Rehab Pllc

Neurology Physician in Louisville, KY · enumerated 2011 · authorized official Blaine Lisner, MD/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417256710

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Registry record

Entity type Organization (Type 2)

Legal business name Dynamic Medical and Rehab Pllc

Practice address 3747 Diann Marie Rd, Louisville, KY, 40241

Phone (502) 426-9200

Fax (502) 426-9259

Enumeration date Mar 25, 2011

Last updated in NPPES Aug 5, 2021

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary

174400000X Specialist Other Service Providers Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Primary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Blaine Lisner

Title MD/Owner

Phone (502) 426-9200

Other identifiers

Identifier	Type	State	Issuer
7100205820	Medicaid	KY	-
000000710768	Other	KY	ANTHEM
7100206020	Medicaid	KY	-
7100210310	Medicaid	KY	-
7100234180	Medicaid	KY	-
7100210390	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Dynamic Medical and Rehab Pllc located?

The practice location on file with NPPES is in Louisville, KY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-05. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Blaine Lisner Neurology Physician · Louisville, KY NPI 1629085949 Paul Constante Chiropractor · Louisville, KY NPI 1801906698 Judith Richert Optometrist · Louisville, KY NPI 1447306519 Dynamic Medical and Rehab, LLC Durable Medical Equipment & Medical Supplies · Louisville, KY NPI 1245606631 Dynamic Chiropractic Pllc Chiropractor · Louisville, KY NPI 1831832559

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-05.