Active NPIIndividual provider

Dylan Leo, DPT

Physical Therapist in Edgewater, New Jersey

NPI Number1669265963
Practice location
19 The Promenade Spc A3b, Edgewater, NJ 07020-2126
Fax
201-377-2151
Last updated
July 21, 2025

Dylan Leo is a Physical Therapist based in Edgewater, NJ. Dylan Leo practices in Edgewater, NJ and has the professional credentials of DPT. The NPI Number for Dylan Leo is 1669265963 and holds a License No. 40QA02336900 (NJ). The current practice location address for Dylan Leo is 19 The Promenade Spc A3b, Edgewater, NJ 07020-2126 and can be reached out via phone at 201-377-1510 and via fax at 201-377-2151.

Provider Profile Details

NPI Number
1669265963
Provider Name
Dylan Leo
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
19 The Promenade Spc A3b, Edgewater, NJ 07020-2126
Phone Number
201-377-1510
Fax Number
201-377-2151
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
May 28, 2025
Last Update Date
July 21, 2025
Certification Date
July 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 The Promenade Spc A3b
Edgewater, NJ 07020-2126
Zip
07020-2126
Phone Number
201-377-1510
Fax Number
201-377-2151
Edgewater, NJ 07020Get directions →

Provider Business Mailing Address Details

Address
19 The Promenade Spc A3b
Edgewater, NJ 07020-2126
City
Edgewater
State
NJ
Zip
07020-2126
Phone Number
201-377-1510
Fax Number
201-377-2151

License Information

License Number
40QA02336900
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dylan Leo, DPT?

The NPI number of Dylan Leo, DPT is 1669265963. It was assigned on May 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Dylan Leo, DPT?

Dylan Leo, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02336900.

Where does Dylan Leo, DPT practice?

The practice location is 19 The Promenade Spc A3b, Edgewater, NJ 07020-2126. The office can be reached at 201-377-1510 (phone) or 201-377-2151 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669265963 directly on the NPPES registry website.

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