Dylan Angel
Individual provider Active NPI Physical Therapist · Carson, CA
NPI 1134003809 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1134003809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 305932 (CA)
- Practice address
- 722 E 222ND St
Carson, CA 90745-3340 - Phone
- (310) 940-8342
- NPI assigned
- Aug 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305932 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305932 | CA | Yes |
Addresses
Primary practice location
722 E 222ND St
Carson, CA 90745-3340
Mailing address
722 E 222ND St
Carson, CA 90745-3340
Other providers in Carson, CA
- Robert Andres
- Kurt William Andrews
- Migsal Lhamo Andrugtsang
- Jasmine Ang
- Remybelle Yniguez Ang
- Linda Angeles
- Anger Me Not Inc
- Annette Liu, M.D., Inc
- Carolyn Antes
- Anthony Duncan DDS Dominguez Hills Dental Group, Inc.
All providers in Carson, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.