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

Dylan Edward Clark, PT

Individual provider Physical Therapist · NPI 1578293114

Dylan Edward Clark, PT is a Physical Therapist in Private Practice in Falls Church, Virginia. Qualified in 2022, 4 years ago. Practices with Advantage PT Corp, a 7-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6565 Arlington Blvd Ste 220
Falls Church, VA 22042-3000
Phone: (703) 942-8824
Fax: (703) 942-8834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305215327 (VA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1578293114
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address3 Hobbes Ct, Medford, NJ 08055-3945

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advantage Pt Corp. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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