Active NPI
Dylan Lannon
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 17710 Canyon Rd E Ste 300
Puyallup, WA 98375-2559 - Phone
- (253) 271-3076
- NPI assigned
- Mar 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | ||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
17710 Canyon Rd E Ste 300
Puyallup, WA 98375-2559
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other practice location 1
1661 Worcester Rd Ste 105
Framingham, MA 01701-5405
Phone (508) 626-2600
Other practice location 2
5911 W Baseline Rd Ste 102
Laveen, AZ 85339-2811
Phone (480) 281-6103
Other practice location 3
1016 Paradise Rd
Swampscott, MA 01907-1352
Phone (781) 309-9007
Other practice location 4
3011 N Clark St
Chicago, IL 60657-5205
Phone (773) 661-0240
Other practice location 5
5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556
Phone (520) 225-0129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, AZ, WA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Worcester Rd
Suite 105
Framingham, MA 01701-5405
Phone (508) 626-2600
17710 Canyon Rd E
Suite 300
Puyallup, WA 98375-2559
Phone (253) 271-3076
5911 W Baseline Rd
Suite 102
Laveen, AZ 85339-2811
Phone (480) 281-6103
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Carl Gustafson LLC | Physical Therapist | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
380 N Estrella Pkwy
Ste A1
Goodyear, AZ 85338
Phone (480) 455-6266
5911 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (480) 281-6103
9127 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 322-0654
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
7620 E Indian School Rd
Ste 104
Scottsdale, AZ 85251
Phone (623) 522-5190
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
5393 S Calle Santa Cruz
Ste 107
Tucson, AZ 85706
Phone (520) 225-0129
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
1661 Worcester Rd
Ste 105
Framingham, MA 01701
Phone (508) 626-2600
1016 Paradise Rd
Swampscott, MA 01907
Phone (781) 309-9007
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
17710 Canyon Rd E
Ste 300
Puyallup, WA 98375
Phone (253) 271-3076
Organizations & group practices 7
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.
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Physical Therapist
- Phoenix, AZ
- NPI 1871570309
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Occupational Therapist
- East Longmeadow, MA
- NPI 1740345818
Physical Therapist
-
- Physical Therapist
- Wellesley, MA
- NPI 1356366082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1497402853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17710 CANYON RD E STE 300",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983752559",
"telephone_number": "253-271-3076"
}
],
"practiceLocations": [
{
"address_1": "1661 Worcester Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017015405",
"country_code": "US",
"telephone_number": "508-626-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5911 W Baseline Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Laveen",
"state": "AZ",
"postal_code": "853392811",
"country_code": "US",
"telephone_number": "480-281-6103",
"fax_number": "623-267-2654",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1016 Paradise Rd",
"address_purpose": "LOCATION",
"city": "Swampscott",
"state": "MA",
"postal_code": "019071352",
"country_code": "US",
"telephone_number": "781-309-9007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3011 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575205",
"country_code": "US",
"telephone_number": "773-661-0240",
"fax_number": "773-289-1541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5393 S Calle Santa Cruz Ste 107",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857063556",
"country_code": "US",
"telephone_number": "520-225-0129",
"fax_number": "520-244-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANNON",
"first_name": "DYLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-07",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.