Dylan Kassenbrock, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

012377 Issued in AZ

Practice address

4530 E Muirwood Dr Ste 110
Phoenix, AZ 85048-7693

Phone

(480) 763-5808

Fax

(833) 973-5420

NPI assigned

Aug 8, 2021

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1124792585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-3181",
            "fax_number": "855-973-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487693",
            "telephone_number": "480-763-5808",
            "fax_number": "833-973-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 W Frye Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246184",
            "country_code": "US",
            "telephone_number": "480-917-5600",
            "fax_number": "833-428-7228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7242 E Osborn Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516494",
            "country_code": "US",
            "telephone_number": "480-425-8004",
            "fax_number": "833-973-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3420 S Mercy Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970424",
            "country_code": "US",
            "telephone_number": "480-681-7374",
            "fax_number": "833-973-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSENBROCK",
        "first_name": "DYLAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "012377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Kaspar
• Michele Kasparian, M.S., PA-C
• David Kasper, MD
• David M Kasper, M.D.
• Lawrence Michael Kasper, M.D.
• Eba Marie-Nys Charity Kassi, PHARMD
• Cathie Ann Kassin, RN
• Scott Kassing, MD
• Christelle E. Kassis, MD
• Steven R Kassman, M.D.

• All providers in Phoenix, AZ
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.