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DYLAN MICHAEL HANNAH PT, DPT
NPI 1215501804
Physical Therapist - Pediatrics in Tempe, AZ

Active since May 18, 2021
1930 E SOUTHERN AVE, TEMPE, AZ 85282(380) 456-0719 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dylan Michael Hannah Pt, Dpt NPPES

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

DYLAN MICHAEL HANNAH PT, DPT (NPI 1215501804) is an individual pediatrics provider in Tempe, Arizona and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1215501804
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameDYLAN MICHAEL HANNAHCredential: PT, DPT
Location Address1930 E SOUTHERN AVETempe, AZ 85282-7518
Mailing Address1930 E Southern AveTempe, AZ 85282-7518 · (380) 456-0719
Phone(380) 456-0719
Sole ProprietorNo
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1215501804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1930 E SOUTHERN AVE, Tempe, AZ 85282
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Michael Hannah Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Solace Pediatric Healthcare Therapy Services Az, Inc.
3.4 mi
Physical Therapist
60 E RIO SALADO PKWY STE 900
Tempe, AZ 85281
  • Reassigned Medicare billing, Arizona enrollment
  • 63 clinicians in this Medicare group
NPI 1669533105 (480) 456-0719

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 20

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

LAURA FOSTER CFY-SLP
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
ARIANNA LACROIX ST
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
CYNTHIA MARIE NELSON PT
Physical Therapist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
ALISON FREDRICKS
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
MICHAEL LEE MCKOWN P.T.
Physical Therapist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
JULIE C ROBINSON ST
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
BRITTANY NICOLE FULLER ST
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719
MARISSA MILLER
Speech-Language Pathologist
1930 E SOUTHERN AVE
TEMPE, AZ 85282
Maricopa County (480) 456-0719

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 Hannah's NPI number?

The NPI number for Dylan Hannah is 1215501804. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Dylan Hannah located?

Dylan Hannah practices at 1930 E Southern Ave, Tempe, AZ 85282. The listed phone number is (380) 456-0719.

What is Dylan Hannah's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Dylan Hannah enrolled in Medicare?

Yes. Dylan Hannah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dylan Hannah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Hannah reassigns Medicare benefits to Solace Pediatric Healthcare Therapy Services Az, Inc. (Tempe, 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 Hannah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Hannah accept?

Health plans from Blue Cross Blue Shield of Arizona list Dylan Hannah 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 Hannah was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.