DYLAN EDWARD CLARK (PT) – Physical Therapist, NPI 1578293114

DYLAN EDWARD CLARK (PT) is a healthcare provider. based in Arlington, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 2305215327 (VA). The NPI Number for DYLAN EDWARD CLARK (PT) is 1578293114

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN EDWARD CLARK (PT)
NPI
1578293114
Phone
(703) 935-1996
Address
1600 WILSON BLVD STE 102
Enumeration Date
15 June 2022
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7039428824
Graduation Year
2022 (4 years ago)
PAC ID
5991173858
Group Practice PAC ID
0749327807
Professional Enrollment ID
I20221125000476
Address ID
VA220423000FA6565XBLVD303
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

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for DYLAN EDWARD CLARK (PT)

  • 1600 WILSON BLVD STE 102

    ARLINGTON, VA 222092505

    Phone: (703) 935-1996

    Type: Location

  • 3 HOBBES CT

    MEDFORD, NJ 080553945

    Phone: (609) 367-3533

    Type: Mailing

  • 6565 ARLINGTON BLVD STE 220

    FALLS CHURCH, VA 220423000

    Phone: (703) 942-8824

    Fax: (703) 942-8834

    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: 2022-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221125000476IPhysical Therapist In Private PracticeDCTBD
I20221222002770IPhysical Therapist In Private PracticeVATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11917$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11418$0
97140Therapy procedure using manual technique, each 15 minutes9215$0
97530Therapy procedure using functional activities6115$0
View full utilization report →

Insurance plans in this area (ZIP 22209)

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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: 0749327807View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

Is DYLAN EDWARD CLARK (PT) listed with a National Provider Identifier?
Yes — DYLAN EDWARD CLARK (PT) has NPI 1578293114 on file in the registry.
Is there an active status for DYLAN EDWARD CLARK (PT)?
For scheduling context, DYLAN EDWARD CLARK (PT) is shown as active in the registry.
What kind of doctor is DYLAN EDWARD CLARK (PT)?
DYLAN EDWARD CLARK (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DYLAN EDWARD CLARK (PT)?
Travel planning: use Arlington, Virginia as the reference point for DYLAN EDWARD CLARK (PT), then confirm.
When was this NPI issued?
Enumeration for DYLAN EDWARD CLARK (PT) is noted as June 15, 2022 where the registry provides it.