Individual provider Active NPI

Dylan Loeffler

  • Physical Therapist
  • Cranberry Township, PA
National Provider Identifier
1770375792
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033635 Issued in PA
Practice address
4000 Old Station Rd Apt 4203
Cranberry Township, PA 16066-1819
Phone
(724) 766-1493
NPI assigned
May 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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 PT033635 PA Primary

Addresses

Primary practice location

4000 Old Station Rd Apt 4203
Cranberry Township, PA 16066-1819

Mailing address

4000 Old Station Rd Apt 4203
Cranberry Township, PA 16066-1819
Phone (724) 766-1493

Other practice location 1

4543 McKnight Rd
Pittsburgh, PA 15237-3108
Phone (412) 748-1616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015001203 PA Practitioner - Physical Therapist in Private Practice 8628565405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wise Physical Therapy and Sports Medicine LLCGroup PAC ID 3274787122, 12 clinicians
Square One Physical Therapy LLCGroup PAC ID 6608156500, 5 clinicians

Practice addresses (Care Compare)

121 Cranberry Rd
Grove City, PA 16127-4629
Phone (724) 458-9473

4543 McKnight Rd
Pittsburgh, PA 15237-3108
Phone (412) 748-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033635PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Physical Therapy LLC Physical Therapist CurrentSince Mar 16, 2026 Accepting new patients
Summit Performance and Physical Therapy, LLC Current Accepting new patients
Wise Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients
Kuzma Physical Therapy and Sports Medicine LLC Physical Therapist PastSince Dec 29, 2019 Accepting new patients

Locations

121 Cranberry Rd
Grove City, PA 16127
Phone (724) 458-9473

4543 McKnight Rd
Pittsburgh, PA 15237
Phone (412) 748-1616

110 Arrowhead Dr
Ste 200
Slippery Rock, PA 16057
Phone (724) 406-0506

110 Arrowhead Dr
Slippery Rock, PA 16057
Phone (724) 406-0506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778371200000",
    "number": "1770375792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD STATION RD APT 4203",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160661819",
            "telephone_number": "724-766-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD STATION RD APT 4203",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160661819",
            "telephone_number": "724-766-1493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4543 McKnight Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152373108",
            "country_code": "US",
            "telephone_number": "412-748-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; 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.