Individual provider Active NPI

Dylan Duane Lemery, DPT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1124688262
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60964437 Issued in WA
Practice address
5905 N Mayfair St Ste 100
Spokane, WA 99208-1127
Phone
(509) 462-8010
Fax
(509) 462-8011
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60964437 WA Primary

Addresses

Primary practice location

5905 N Mayfair St Ste 100
Spokane, WA 99208-1127

Mailing address

4631 Whitman LN SE Ste D
Lacey, WA 98513-2250
Phone (360) 338-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60964437WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehab Valley Corporation Physical Therapist PastSince Oct 5, 2020 Accepting new patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. Past Accepting new patients

Organizations & group practices 2

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1124688262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 WHITMAN LN SE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132250",
            "telephone_number": "360-338-0181",
            "fax_number": "360-338-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 N MAYFAIR ST STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081127",
            "telephone_number": "509-462-8010",
            "fax_number": "509-462-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMERY",
        "first_name": "DYLAN",
        "middle_name": "DUANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60964437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.