Dylan Fallis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14.011964 Issued in CT

Practice address

190 Fenn Rd
Newington, CT 06111-2244

Phone

(860) 665-1177

NPI assigned

Aug 8, 2018

Last updated

Oct 7, 2020By the provider in NPPES

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 CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spargo Physical Therapy LLCGroup PAC ID 6507108073, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spargo Physical Therapy LLC

  • Physical Therapist
  • Bristol, CT
  • NPI 1366909541
  Medicare reassignment Care Compare group NPD
• Focus Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Berlin, CT
  • NPI 1780868505

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1578042784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060110042",
            "telephone_number": "860-973-4995",
            "fax_number": "860-973-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 FENN RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112244",
            "telephone_number": "860-665-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "CT",
            "postal_code": "06037",
            "country_code": "US",
            "telephone_number": "860-829-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLIS",
        "first_name": "DYLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.011964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Evensen, PT
• Nicole Everett, OD
• Eyeconic Vision Care LLC
• Jane Failla, L.O.
• Janice Falk, ST
• Family Adult Day Care
• Family Counseling of Newington, PLLC
• Family Dental Practice of Newington
• Aaron Reza Farrokh, DMD
• Erin Colleen Feeney

• Physical Therapist in Newington, CT
• Providers in Newington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.