Individual provider Active NPI

Dustin Dyer, DPT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1578288890
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42241 Issued in FL
Practice address
65 Division Ave Ste T
Eugene, OR 97404-2485
Phone
(541) 418-4590
NPI assigned
Oct 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016248 GA
Physical Therapist 225100000X PT42241 FL Primary
Physical Therapist 225100000X 65641 OR
Physical Therapist 225100000X

Addresses

Primary practice location

65 Division Ave Ste T
Eugene, OR 97404-2485

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

5660 W Cortaro Farms Rd Ste 108
Tucson, AZ 85742-9800
Phone (520) 462-6167

Other practice location 2

112 Kia Dr Ste B
LaGrange, GA 30241-3731
Phone (706) 668-6336

Other practice location 3

102 Hines Rd NE Ste 3
Calhoun, GA 30701-9383
Phone (706) 602-9655

Other practice location 4

18773 S Nogales Hwy Ste 105
Green Valley, AZ 85614-0403
Phone (520) 477-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221026001988 GA Practitioner - Physical Therapist in Private Practice 6507232956 Reassigns benefits to 3 organizations
I20230130002420 AZ Practitioner - Physical Therapist in Private Practice 6507232956 Reassigns benefits to 1 organization
I20250331000170 OR Practitioner - Physical Therapist in Private Practice 6507232956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Benchmark Physical Therapy of Oregon LLCGroup PAC ID 0143510602, 124 clinicians

Practice addresses (Care Compare)

5660 W Cortaro Farms Rd
Suite 108
Tucson, AZ 85742-9800
Phone (520) 462-6167

65 Division Ave
Suite T
Eugene, OR 97404-2485
Phone (541) 418-4590

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42241FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 23, 2023 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Mar 21, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Oct 10, 2022 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

18773 S Nogales Hwy
Ste 105
Green Valley, AZ 85614
Phone (520) 477-3130

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

5660 W Cortaro Farms Rd
Ste 108
Tucson, AZ 85742
Phone (520) 462-6167

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

102 Hines Rd NE
Ste 3
Calhoun, GA 30701
Phone (706) 602-9383

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

112 Kia Dr
#B
Lagrange, GA 30241
Phone (706) 668-6336

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

790 Remington Blvd
Bolingbrook, IL 60440

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

65 Division Ave
Ste T
Eugene, OR 97404
Phone (541) 418-4590

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1578288890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DIVISION AVE STE T",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042485",
            "telephone_number": "541-418-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5660 W Cortaro Farms Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857429800",
            "country_code": "US",
            "telephone_number": "520-462-6167",
            "fax_number": "602-795-8447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Kia Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302413731",
            "country_code": "US",
            "telephone_number": "706-668-6336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Hines Rd NE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307019383",
            "country_code": "US",
            "telephone_number": "706-602-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18773 S Nogales Hwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856140403",
            "country_code": "US",
            "telephone_number": "520-477-3130",
            "fax_number": "480-885-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "DUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016248",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42241",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65641",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.