MEDICARE: DUSTIN DYER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT016248	GA
2	225100000X	Physical Therapist	PT42241	FL
3	225100000X	Physical Therapist	65641	OR
4	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1578288890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUSTIN DYER DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 DIVISION AVE STE T
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97404-2485
Country	:	US
Telephone Number	:	541-418-4590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	09/29/2025

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Directions to “ DUSTIN DYER DPT” Practice Location

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