Individual provider Active NPI

Darrell Dean Dila, PT, DPT

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1518334606
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209777 Issued in VA
Practice address
212 Butler Rd
Fredericksburg, VA 22405
Phone
(540) 710-5144
Fax
(540) 710-5333
NPI assigned
Aug 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 2305209777 VA Primary

Addresses

Primary practice location

212 Butler Rd
Fredericksburg, VA 22405

Mailing address

4701 Spotsylvania Pkwy Ste 106
Fredericksburg, VA 22407-9435
Phone (540) 710-0100

Other practice location 1

12731 Marblestone Dr
Woodbridge, VA 22192-8333
Phone (571) 659-2612

Other practice location 2

12731 Marblestone Dr
Woodbridge, VA 22192-8333
Phone (571) 659-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204003761 VA Practitioner - Physical Therapist in Private Practice 0648514489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fusion Physiotherapy Associates LLCGroup PAC ID 5092093575, 19 clinicians

Practice addresses (Care Compare)

212 Butler Rd
Falmouth, VA 22405-2441
Phone (540) 710-5144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Physiotherapy Associates LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients

Locations

12 Chatham Heights Rd
Ste 102
Fredericksburg, VA 22405
Phone (540) 710-0130

4701 Spotsylvania Pkwy
Ste 106
Fredericksburg, VA 22407
Phone (540) 710-0100

212 Butler Rd
Fredericksburg, VA 22405
Phone (540) 371-9622

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1518334606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY STE 106",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-710-0100",
            "fax_number": "540-710-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BUTLER RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22405",
            "telephone_number": "540-710-5144",
            "fax_number": "540-710-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12731 Marblestone Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221928333",
            "country_code": "US",
            "telephone_number": "571-659-2612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12731 Marblestone Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221928333",
            "country_code": "US",
            "telephone_number": "571-659-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILA",
        "first_name": "DARRELL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.