Dennis Gyllenhaal, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2967 Issued in AZ

Practice address

12315 N Vistoso Park Rd
Oro Valley, AZ 85755-5819

Phone

(520) 382-8180

Fax

(520) 382-8342

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ideal Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1831353614
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1821041179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-382-8180",
            "fax_number": "520-382-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 N VISTOSO PARK RD",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857555819",
            "telephone_number": "520-382-8180",
            "fax_number": "520-382-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYLLENHAAL",
        "first_name": "DENNIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336984",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z212422",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENCE",
            "identifier": "2967",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guardian Pharmacy of Tucson LLC
• Barbara Elaine Guerrero, PHARMD
• Karl Louis Guillen, AAS
• Pallavi S Gupta, LPC
• Ruby Lynn Guyot, P.T.
• Joyce A Hagin, D.M.D.
• Halgan Group LLC
• Ann Elizabeth Hall, LPC
• Ham & Lacy Dental Group, LLC
• Sean Brian Ham, DDS

• Physical Therapist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.