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

Dylan Kassenbrock, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1124792585

Dylan Kassenbrock, DO is a Physical Medicine and Rehabilitation in Phoenix, Arizona. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2022, 4 years ago. Practices as a sole proprietor and works from 4 locations. Licensed in Arizona.

Years since qualifying
4
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
AZ
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4530 E Muirwood Dr Ste 110
Phoenix, AZ 85048-7693
Phone: (480) 763-5808
Fax: (833) 973-5420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1875 W Frye Rd Ste 300, Chandler, AZ 85224-6184 — (480) 917-5600
  • 3420 S Mercy Rd Ste 221, Gilbert, AZ 85297-0424 — (480) 681-7374
  • 7242 E Osborn Rd Ste 420, Scottsdale, AZ 85251-6494 — (480) 425-8004

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 012377 (AZ)

Record details

NPI number1124792585
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 8, 2021
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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