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

Dylan Edgar

Individual provider Speech-Language Pathologist · NPI 1508487133

Dylan Edgar is a Qualified Speech Language Pathologist in Gilbert, Arizona. Qualified in 2025, 1 year ago. Practices with Advanced Neurologic Rehabilitation, a 35-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2020

Practice location Address checks out

3961 E Guadalupe Rd Ste 1
Gilbert, AZ 85234-3266
Phone: (480) 699-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence TSLP16116 (AZ)

Record details

NPI number1508487133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address1819 E Springfield Ave Ste H, Spokane, WA 99202-2954

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Neurologic Rehabilitation — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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