DYLAN KASSENBROCK D.O.
NPI 1124792585
Physical Medicine & Rehabilitation in Phoenix, AZ
- Individual
- Male
- Physical Medicine & Rehabilitation
- PECOS Enrolled
About DYLAN KASSENBROCK
This page provides the complete NPI Profile along with additional information for Dylan Kassenbrock, a provider established in Phoenix, Arizona with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1124792585 assigned on August 2021. The practitioner's primary taxonomy code is 208100000X with license number 012377 (AZ). The provider is registered as an individual and his NPI record was last updated June 2026.
- NPI
- 1124792585 Verify this NPI
- Provider Name
- DYLAN KASSENBROCK D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048
- Location Phone
- (480) 763-5808
- Location Fax
- (833) 973-5420
- Mailing Address
- 2910 N 3RD AVE # 200 PHOENIX, AZ 85013
- Mailing Phone
- (602) 406-3181
- Mailing Fax
- (855) 973-5424
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-08-2021
- Last Update Date
- 06-23-2026
- Code Navigator
Location Map
Secondary Locations
- 3420 S Mercy Rd Ste 221
Gilbert, AZ 85297
(480) 681-7374 - 7242 E Osborn Rd Ste 420
Scottsdale, AZ 85251
(480) 425-8004 - 1875 W Frye Rd Ste 300
Chandler, AZ 85224
(480) 917-5600
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 012377
- License State
- AZ
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Medicare Participation & PECOS Enrollment Status
Dylan Kassenbrock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
PHOENIX, AZ 85048
PHOENIX, AZ 85048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124792585, enumerated as an "individual" on August 08, 2021.
The provider is located at 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 and the phone number is (480) 763-5808.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
