Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since August 08, 2021PECOS Enrolled
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: August 09, 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 and maintains 3 additional practice locations.

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
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

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).

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.

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 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.