Dylan James Kane

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39449 Issued in FL

Practice address

1045 Riverside Ave Ste 190
Jacksonville, FL 32204-4189

Phone

(904) 647-4284

NPI assigned

Sep 13, 2022

Last updated

Oct 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1033831342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SHETTER AVE APT 8306",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503473",
            "telephone_number": "845-499-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 RIVERSIDE AVE STE 190",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044189",
            "telephone_number": "904-647-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "DYLAN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02126800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arline Jose Kandathiparampil, M.D.
• Pujan Kandel, MD
• Alexa Kane, PSYD
• Andrew John Kane, M.D.
• Chris John Kane, D.O.
• Kathryn Kane
• Melissa Kane, DO, MPH
• Kanehl Dental Group, P.a.
• Bruce Arthur Kanehl, D.D.S.
• Christine Ann Quiambao Kanekoa, APRN

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.