Individual provider Active NPI

Debra Mae Dy, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1154903474
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11980 San Vicente Blvd Ste 100
Los Angeles, CA 90049-5012
Phone
(310) 479-2323
NPI assigned
Apr 26, 2021
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 NU Primary

Addresses

Primary practice location

11980 San Vicente Blvd Ste 100
Los Angeles, CA 90049-5012

Mailing address

2263 SW 37TH Ave Apt 405
Miami, FL 33145-3253
Phone (224) 522-9843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230126000613 CA Practitioner - Physical Therapist in Private Practice 3678944857 Reassigns benefits to 2 organizations
I20260425000055 TX Practitioner - Physical Therapist in Private Practice 3678944857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Origin Physical Therapy Ca IncGroup PAC ID 9133650427, 22 clinicians
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

11980 San Vicente Blvd
Suite 100
Los Angeles, CA 90049-6602
Phone (213) 898-2673

12411 Hymeadow Dr
Austin, TX 78750-1874
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Pilates PT Physical Therapy Inc Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Origin Physical Therapy Ca Inc Physical Therapist CurrentSince Dec 17, 2025 Accepting new patients

Locations

7188 Avenida Encinas
Ste 110
Carlsbad, CA 92011

11980 San Vicente Blvd
Ste 100
Los Angeles, CA 90049
Phone (310) 479-2323

350 S Lake Ave
Ste 220
Pasadena, CA 91101
Phone (626) 798-7805

13425 Ventura Blvd
Ste 200
Sherman Oaks, CA 91423
Phone (818) 877-6910

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1154903474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 SW 37TH AVE APT 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453253",
            "telephone_number": "224-522-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495012",
            "telephone_number": "310-479-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "DEBRA MAE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.