Individual provider Active NPI

Dillon Yasser, DPT

  • Physical Therapist
  • Little Silver, NJ
National Provider Identifier
1669181566
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02138300 Issued in NJ
Practice address
116 Oceanport Avenue, BLDG. 2
Little Silver, NJ 07739-1250
Phone
(732) 758-0002
Fax
(732) 219-0979
NPI assigned
Nov 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 40QA02138300 NJ Primary

Addresses

Primary practice location

116 Oceanport Avenue, BLDG. 2
Little Silver, NJ 07739-1250

Mailing address

116 Oceanport Avenue, BLDG. 2
Little Silver, NJ 07739-1250
Phone (732) 758-0002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221210000276 NJ Practitioner - Physical Therapist in Private Practice 5092184200 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
Sports Care and Physical Rehabilitation Inc.Group PAC ID 3072594654, 6 clinicians

Practice addresses (Care Compare)

116 Oceanport Ave
Little Silver, NJ 07739-1211
Phone (732) 758-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Care and Physical Rehabilitation Inc. Physical Therapist CurrentSince Nov 6, 2022 Accepting new patients
Parker Creek Neurorehabilitation PastSince Nov 20, 2022 Accepting new patients

Locations

116 Oceanport Ave
Ste 2
Little Silver, NJ 07739
Phone (732) 233-2046

116 Oceanport Ave
Little Silver, NJ 07739
Phone (732) 219-0979

Organizations & group practices 2

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1669181566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OCEANPORT AVENUE, BLDG. 2",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391250",
            "telephone_number": "732-758-0002",
            "fax_number": "732-219-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OCEANPORT AVENUE, BLDG. 2",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391250",
            "telephone_number": "732-758-0002",
            "fax_number": "732-219-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSER",
        "first_name": "DILLON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02138300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.