Individual provider Active NPI

Dylan Leblanc

  • Physical Therapist
  • Sunset Valley, TX
National Provider Identifier
1982301966
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5601 Brodie LN Ste 640
Sunset Valley, TX 78745-2551
Phone
(512) 580-3055
Fax
(512) 580-3056
NPI assigned
Feb 10, 2023
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 Primary

Addresses

Primary practice location

5601 Brodie LN Ste 640
Sunset Valley, TX 78745-2551

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 558-0076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306001537 TX Practitioner - Physical Therapist in Private Practice 1153794524 Reassigns benefits to 2 organizations

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
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

5601 Brodie LN
Suite 640
Sunset Valley, TX 78745-2551
Phone (512) 580-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 23, 2023 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Dec 21, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 23, 2023 Accepting new patients

Locations

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

12848 South Fwy
Ste 230
Burleson, TX 76028
Phone (817) 928-9561

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

3515 W FM 120
Ste 103
Denison, TX 75020
Phone (903) 337-1362

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

3351 Regent Blvd
Ste 140A
Irving, TX 75063
Phone (214) 774-2995

8619 Broadway St
Ste 205
Pearland, TX 77584
Phone (832) 500-7699

819 W Arapaho Rd
Ste 40
Richardson, TX 75080
Phone (214) 377-7349

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

5601 Brodie Ln
Ste 640
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1982301966",
    "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",
            "telephone_number": "423-558-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRODIE LN STE 640",
            "city": "SUNSET VALLEY",
            "state": "TX",
            "postal_code": "787452551",
            "telephone_number": "512-580-3055",
            "fax_number": "512-580-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset Valley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.