Individual provider Active NPI

Dequan Van Bond, PT, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1104693977
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15039 Issued in TN
Practice address
1301 Pennsylvania Ave SE
Washington, DC 20003-3027
Phone
(202) 455-8644
NPI assigned
Dec 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 15039 TN Primary

Addresses

Primary practice location

1301 Pennsylvania Ave SE
Washington, DC 20003-3027

Mailing address

200 N Robertson Blvd Ste 301
Beverly Hills, CA 90211-6001
Phone (310) 273-8256

Other practice location 1

1516 Mount Mitchell Ct
Antioch, TN 37013-5741
Phone (615) 977-2051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902003880 CA Practitioner - Physical Therapist in Private Practice 7517403496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Physical Therapy Specialists IncGroup PAC ID 6507764891, 13 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-6001
Phone (310) 273-8256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15039TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Sep 30, 2025 Accepting new patients
Physical Therapy Specialists Inc Physical Therapist CurrentSince Aug 19, 2025 Accepting new patients
W. Seth Bolling, MD, Inc PastSince Aug 19, 2025 Accepting new patients

Locations

200 N Robertson Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 273-7800

6310 San Vicente Blvd
Ste 200
Los Angeles, CA 90048
Phone (310) 273-7800

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 3

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1104693977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD STE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902116001",
            "telephone_number": "310-273-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033027",
            "telephone_number": "202-455-8644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 Mount Mitchell Ct",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370135741",
            "country_code": "US",
            "telephone_number": "615-977-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOND",
        "first_name": "DEQUAN",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.