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

Individual provider Physical Therapist · NPI 1578042784

Dylan Fallis, DPT is a Physical Therapist in Private Practice in Newington, Connecticut. Qualified in 2018, 8 years ago. Practices with Spargo Physical Therapy LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
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

190 Fenn Rd
Newington, CT 06111-2244
Phone: (860) 665-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1138 Farmington Ave, Berlin, CT 06037 — (860) 829-5511

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14.011964 (CT)

Record details

NPI number1578042784
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing addressPo Box 42, Bristol, CT 06011-0042

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spargo Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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