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

Individual provider Physical Therapist · NPI 1669265963

Dylan Leo, DPT is a Physical Therapist in Private Practice in Edgewater, New Jersey. Qualified in 2025, 1 year ago. Practices with Edgewater Physical Therapy Group, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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

19 The Promenade Spc A3B
Edgewater, NJ 07020-2126
Phone: (201) 377-1510
Fax: (201) 377-2151
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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 40QA02336900 (NJ)

Record details

NPI number1669265963
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 28, 2025
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address19 The Promenade Spc A3b, Edgewater, NJ 07020-2126

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Edgewater Physical Therapy Group — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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