Eric Jan Dykstra, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025784 Issued in PA

Practice address

421 Mall Circle Dr
Monroeville, PA 15146-2207

Phone

(412) 822-3000

NPI assigned

Mar 30, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Elite Sports Chiropractic and Rehabilitation

  • Chiropractor
  • Wexford, PA
  • NPI 1275316036
  NPD

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1154853000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MALL CIRCLE DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MALL CIRCLE DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462207",
            "telephone_number": "412-822-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "ERIC",
        "middle_name": "JAN",
        "credential": "DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT025784",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine E Dull, PHARMD
• Rachel Elizabeth Duncan, MS, RD, LDN
• Patricia Dunlap, CRNP
• Mark Durigon
• Bryan Michael Durkin, PHARMD
• Elena Charlotte Dysert, PA-C
• Alexis Dziatkowicz, PHARMD
• Adrianna Marie Dzuka
• Eagle Eyes
• Mary-Hannah Grace Earle

• Physical Therapist in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.