DYLAN KASSENBROCK D.O.
NPI 1124792585
Physical Medicine & Rehabilitation in Phoenix, AZ

Active since August 08, 2021PECOS EnrolledAccepts Medicare Assignment
4530 E MUIRWOOD DR STE 110, PHOENIX, AZ 85048(480) 763-5808(833) 973-5420 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dylan Kassenbrock D.o. NPPES

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

DYLAN KASSENBROCK D.O. (NPI 1124792585) is an individual physical medicine & rehabilitation provider in Phoenix, Arizona, licensed in Arizona (012377) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2022).

NPPES Registry Identity

NPI1124792585
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDYLAN KASSENBROCKCredential: D.O.
Location Address4530 E MUIRWOOD DR STE 110Phoenix, AZ 85048-7693
Mailing Address2910 N 3rd Ave # 200Phoenix, AZ 85013-4434 · (602) 406-3181 · Fax (855) 973-5424
Fax(833) 973-5420
Sole ProprietorYes
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2022
Enumeration DateAugust 8, 2021
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1124792585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in AZ · 012377
Definition
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.
4530 E MUIRWOOD DR STE 110, Phoenix, AZ 85048

Secondary Practice Locations 3

Location 11875 W Frye Rd Ste 300Chandler, AZ 85224-6184 · Phone (480) 917-5600 · Fax (833) 428-7228
Location 27242 E Osborn Rd Ste 420Scottsdale, AZ 85251-6494 · Phone (480) 425-8004 · Fax (833) 973-5425
Location 33420 S Mercy Rd Ste 221Gilbert, AZ 85297-0424 · Phone (480) 681-7374 · Fax (833) 973-5421

Accepted Insurance

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 Kassenbrock D.o. 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 ID244611937
PECOS Enrollment IDI20260615004046
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Neurological Surgery
2910 N 3RD AVE # 200
Phoenix, AZ 85013
  • Reassigned Medicare billing, Arizona enrollment
  • 69 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.

Other Providers at the Same Location NPPES 14

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

Physical Medicine & Rehabilitation (Sports Medicine)
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048
Physical Therapist
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048
Physical Medicine & Rehabilitation
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048
Physician Assistant (Medical)
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048
Physical Therapist
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048
Physical Therapist
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048
Physical Therapist
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048
Physical Therapist
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ 85048

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 Kassenbrock's NPI number?

The NPI number for Dylan Kassenbrock is 1124792585. It was assigned to this individual provider in the NPPES registry on August 8, 2021.

Where is Dylan Kassenbrock located?

Dylan Kassenbrock practices at 4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048. The listed phone number is (480) 763-5808.

What is Dylan Kassenbrock's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Dylan Kassenbrock enrolled in Medicare?

Yes. Dylan Kassenbrock 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 Kassenbrock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Kassenbrock reassigns Medicare benefits to Neurosurgical Associates, Ltd (Phoenix, AZ). 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 Kassenbrock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Kassenbrock accept?

Health plans from Blue Cross Blue Shield of Arizona list Dylan Kassenbrock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Kassenbrock was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.