Active NPI
Dylan M Callier, DPT
- Physical Therapist
- Palm Desert, CA
National Provider Identifier
1952849184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293716
- Practice address
- 73345 Highway 111 Ste 103
Palm Desert, CA 92260-3909 - Phone
- (760) 674-0675
- Fax
- (760) 674-0645
- NPI assigned
- Feb 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2017003392 | MO | |
| Physical Therapist | 225100000X | 293716 | CA | Primary |
Addresses
Primary practice location
73345 Highway 111 Ste 103
Palm Desert, CA 92260-3909
Mailing address
24630 Washington Ave Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293716 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1952849184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73345 HIGHWAY 111 STE 103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603909",
"telephone_number": "760-674-0675",
"fax_number": "760-674-0645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLIER",
"first_name": "DYLAN",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-08",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2017003392",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.