Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dillon Destefanis, DPT

Individual provider Physical Therapist · NPI 1902411267

Dillon Destefanis, DPT is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2020, 6 years ago. Practices with Physical Therapy Doctor, PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Northwest Dr, Farmingdale, NY 11735-4935 — (516) 420-2900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046112 (NY)

Record details

NPI number1902411267
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing address475 Northern Blvd Ste 11, Great Neck, NY 11021-4802

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physical Therapy Doctor,P.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck