DYLAN KASSENBROCK D.O.
NPI 1124792585
Physical Medicine & Rehabilitation in Phoenix, AZ
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 and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dylan Kassenbrock D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHOENIX, AZ 85048
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 enrollment system.
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 53 days 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.