Dylan Defeo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1548217615 Issued in FL

Practice address

345 W Michigan St Ste 108
Orlando, FL 32806-4465

Phone

(407) 888-2255

NPI assigned

Jan 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Specialists of Hunters Creek LLCGroup PAC ID 1355576745, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Specialists of Hunters Creek, LLC

  • Physical Therapy Clinic/Center
  • Orlando, FL
  • NPI 1851726012

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy Specialists of Pine Castle LLC

  • Physical Therapist
  • Orlando, FL
  • NPI 1548217615
  Medicare reassignment NPD

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1124591896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W MICHIGAN ST STE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064465",
            "telephone_number": "407-888-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W MICHIGAN ST STE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064465",
            "telephone_number": "407-888-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFEO",
        "first_name": "DYLAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "1548217615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine E Deery
• George Bradford Deese, DMD
• Noah Defauwes, BS
• Maria Del Carmen Defendini - Lopez, M.D.
• Yolly Normil Defendre, AGACNP-BC
• Nicholas Defeo Jr.
• Stephanie Nicole Defeo, MS, CCC-SLP
• Definitive Beauty L.L.C.
• Brenda Deforrest, OD, PA
• Caroline Clark Defossez, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.