Individual provider Active NPI

Dylan B Delancey, DPT

  • Physical Therapist
  • Lakewood Ranch, FL
National Provider Identifier
1104593359
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT44192 Issued in FL
Practice address
11661 State Road 70 E
Lakewood Ranch, FL 34202-9416
Phone
(941) 222-0321
NPI assigned
Aug 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP049062T CO
Physical Therapist 225100000X PT7224 MS
Physical Therapist 225100000X 303524 CA
Physical Therapist 225100000X PT44192 FL Primary

Addresses

Primary practice location

11661 State Road 70 E
Lakewood Ranch, FL 34202-9416

Mailing address

11661 State Road 70 E
Lakewood Ranch, FL 34202-9416
Phone (941) 222-0321

Other practice location 1

4010 Bienville Blvd Unit E
Ocean Springs, MS 39564-5990
Phone (228) 300-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250926002511 CO Practitioner - Physical Therapist in Private Practice 3375949969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303524CAMDPhysical Therapist
CP049062TCOMDPhysical Therapist
PT44192FLMDPhysical Therapist
PT7224MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 12, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 12, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 12, 2025 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1104593359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 STATE ROAD 70 E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029416",
            "telephone_number": "941-222-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 STATE ROAD 70 E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029416",
            "telephone_number": "941-222-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Bienville Blvd Unit E",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645990",
            "country_code": "US",
            "telephone_number": "228-300-6001",
            "fax_number": "228-300-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELANCEY",
        "first_name": "DYLAN",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP049062T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7224",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303524",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.