Dylan Jitsuo Ito, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

65050 Issued in OR

Practice address

14766 SW Scholls Ferry Rd Apt 1236
Beaverton, OR 97007-8984

Phone

(808) 936-2414

NPI assigned

Aug 3, 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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Therapeutic Associates Inc

  dba TAI Evergreen Physical Therapy

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1497731244
  Medicare reassignment Care Compare group
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Therapeutic Associates Inc

  dba TAI - Juanita Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1659648012
  NPD
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1174205603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14766 SW SCHOLLS FERRY RD APT 1236",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078984",
            "telephone_number": "808-936-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14766 SW SCHOLLS FERRY RD APT 1236",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078984",
            "telephone_number": "808-936-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "DYLAN",
        "middle_name": "JITSUO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "65050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajay Iselin
• Reid Yoshinobu Ishikawa, PHARM.D, RPH
• Kevin Naotaka Ishitani
• Robert Carl Isler III, PT
• Neveen Ismail, APRN
• Miglena A Ivanova-Shinde
• Ivys Massage and Bodywork
• Katarzyna Barbara Iwan, M.D.
• Naoya Izawa, PSY.D.
• Lisa Jackman

• Orthopedic Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.