Individual provider Active NPI

Dylan Curtis Underwood

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1770148090
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019125 Issued in OH
Practice address
463 Ohio Pike Ste 203
Cincinnati, OH 45255-3745
Phone
(513) 247-4340
Fax
(513) 206-8073
NPI assigned
May 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019125 OH Primary
Physical Therapist 225100000X 05013318A IN

Addresses

Primary practice location

463 Ohio Pike Ste 203
Cincinnati, OH 45255-3745

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190509002457 IN Practitioner - Physical Therapist in Private Practice 6901149129 Reassigns benefits to 3 organizations
I20210415001996 OH Practitioner - Physical Therapist in Private Practice 6901149129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Indiana LLCGroup PAC ID 2567896996, 9 clinicians

Practice addresses (Care Compare)

1035 W Eads Pkwy
Lawrenceburg, IN 47025-1162
Phone (812) 577-0921

Merit-based Incentive Payment System (MIPS)

Final score
84.86 of 100Reported as group
Quality
81.29
Improvement activities
40
Cost
74.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019125OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Apr 30, 2019 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist Current Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Apr 30, 2019 Accepting new patients
Drayer Physical Therapy Indiana LLC Physical Therapist CurrentSince Mar 7, 2021 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients

Locations

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

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

204 Cross County Plz
Batesville, IN 47006
Phone (812) 803-2408

474 W Plaza Dr
Columbia City, IN 46725
Phone (260) 244-8009

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

9105 E 56th St
Ste I
Indianapolis, IN 46216
Phone (463) 207-9995

1035 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (812) 577-0921

200 S Obrien St
Seymour, IN 47274
Phone (812) 522-9574

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

Organizations & group practices 8

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1770148090",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 OHIO PIKE STE 203",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553745",
            "telephone_number": "513-247-4340",
            "fax_number": "513-206-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DYLAN",
        "middle_name": "CURTIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019125",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013318A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.