DYLAN KUNTZ (DPT) – Physical Therapist, NPI 1215625462

DYLAN KUNTZ (DPT) is a healthcare provider. based in Provo, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61432964 (WA). The NPI Number for DYLAN KUNTZ (DPT) is 1215625462

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN KUNTZ (DPT)
NPI
1215625462
Phone
Not provided
Address
1200 N TERRACE DR APT 413
Enumeration Date
26 April 2023
Last Update Date
26 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094628010
Graduation Year
2023 (3 years ago)
PAC ID
3779938907
Group Practice PAC ID
1254221112
Professional Enrollment ID
I20231009001283
Address ID
WA992081127SP5905XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DYLAN KUNTZ (DPT)

  • 1200 N TERRACE DR APT 413

    PROVO, UT 846043762

    Phone:

    Type: Mailing

  • 5905 N MAYFAIR ST # 100

    SPOKANE, WA 992081127

    Phone: (509) 462-8010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231009001283IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16717$0
97530Therapy procedure using functional activities13413$0
97140Therapy procedure using manual technique, each 15 minutes10416$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254221112View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeWA
-WA
-WA
Occupational Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What unique ID ties claims to DYLAN KUNTZ (DPT)?
NPI 1215625462 is assigned to DYLAN KUNTZ (DPT) under the national enumeration system.
Does this profile mean DYLAN KUNTZ (DPT) is currently active?
Yes — DYLAN KUNTZ (DPT) appears active in the national provider directory.
Does DYLAN KUNTZ (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for DYLAN KUNTZ (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for DYLAN KUNTZ (DPT)?
The page summarizes Provo, Utah for DYLAN KUNTZ (DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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