DYLAN MEDEIROS PHYSICAL THERAPY
NPI 1043025463
Physical Therapist in Tiverton, RI

Active since February 12, 2025Accepts Medicare Assignment
1812 MAIN RD, TIVERTON, RI 02878(401) 625-9855(401) 625-9856 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dylan Medeiros Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN MEDEIROS PHYSICAL THERAPY (NPI 1043025463) is an individual physical therapist in Tiverton, Rhode Island, licensed in Rhode Island (PT03938) and active in the NPI registry since February 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1043025463
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDYLAN MEDEIROSCredential: PHYSICAL THERAPY
Location Address1812 MAIN RDTiverton, RI 02878-4625
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005
Fax(401) 625-9856
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1043025463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in RI · PT03938
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1812 MAIN RD, Tiverton, RI 02878

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dylan Medeiros Physical Therapy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577083740
PECOS Enrollment IDI20250219001438

Medicare Billing Reassignment

Medicare enrollment records show Dylan Medeiros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
1539 ATWOOD AVE STE 202
Johnston, RI 02919
  • Reassigned Medicare billing, Rhode Island enrollment
  • 100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02878 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1812 MAIN RD
TIVERTON, RI 02878
Physical Therapist
1812 MAIN RD
TIVERTON, RI 02878
Durable Medical Equipment & Medical Supplies
1812 MAIN RD
TIVERTON, RI 02878
Physical Therapist
1812 MAIN RD
TIVERTON, RI 02878
Physical Therapist
1812 MAIN RD
TIVERTON, RI 02878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Medeiros's NPI number?

The NPI number for Dylan Medeiros is 1043025463. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Dylan Medeiros located?

Dylan Medeiros practices at 1812 Main Rd, Tiverton, RI 02878. The listed phone number is (401) 625-9855.

What is Dylan Medeiros's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Dylan Medeiros enrolled in Medicare?

Yes. Dylan Medeiros is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dylan Medeiros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Medeiros reassigns Medicare benefits to Pappas Physical Therapy LLC (Johnston, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Medeiros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dylan Medeiros was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.