Individual provider Active NPI

Dylan Ryan Blosser, PT, DPT

  • Physical Therapist
  • Bay Pines, FL
National Provider Identifier
1649060377
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41922 Issued in FL
Practice address
10000 Bay Pines Blvd
Bay Pines, FL 33744-8200
Phone
(727) 398-6661
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 PT41922 FL Primary

Addresses

Primary practice location

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200

Mailing address

27 Plantation Dr Apt 205
Vero Beach, FL 32966-8217
Phone (772) 985-6029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120003463 ID Practitioner - Physical Therapist in Private Practice 4082106737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sawtooth Physical TherapyGroup PAC ID 1759552961, 22 clinicians
CSRM LLCGroup PAC ID 4789078312, 22 clinicians

Practice addresses (Care Compare)

7979 W Rifleman St
Boise, ID 83704-9066
Phone (208) 377-3850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41922FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sawtooth Physical Therapy CurrentSince Oct 27, 2025 Accepting new patients
Sawtooth Physical Therapy Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
CSRM LLC CurrentSince Oct 27, 2025 Accepting new patients
CSRM LLC Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients

Locations

7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133

7979 W Rifleman St
Ste 200
Boise, ID 83704
Phone (208) 377-3850

3015 E Magic View Dr
Ste 100
Meridian, ID 83642
Phone (208) 887-3498

4842 N Cortona Way
Ste 100
Meridian, ID 83646
Phone (208) 888-8302

16816 N Marketplace Blvd
Nampa, ID 83687
Phone (208) 461-9593

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1649060377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PLANTATION DR APT 205",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329668217",
            "telephone_number": "772-985-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "337448200",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSSER",
        "first_name": "DYLAN",
        "middle_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

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