Dylan Normandin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2122 N Broadway Ste 200
Santa Ana, CA 92706-2614

Phone

(310) 400-0457

NPI assigned

May 12, 2023

Sex

Male

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suru Physical Therapy IncGroup PAC ID 7810341278, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Suru Physical Therapy Inc

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1972294460
  Medicare reassignment Care Compare group NPD Authorized official
• Suru Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1952254153
  NPD Authorized official

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1144910035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 N BROADWAY STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062614",
            "telephone_number": "310-400-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N BROADWAY STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062614",
            "telephone_number": "310-400-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMANDIN",
        "first_name": "DYLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Norberg, MSW
• John Allen Nordyke, LVN
• Cera Noriega
• Shannon Noriega
• Pamela Regina Norman, L.V.N, RAS
• Norooz Clinic Foundation
• Brian B Norouzi, M.D.
• North Bristol Family and Injury Medical Center
• North Park Surgery Center Inc
• North Park Surgery Center, Inc.

• Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.