Healthcare Provider Details

I. General information

NPI: 1164337523
Provider Name (Legal Business Name): DYLAN SCOTT BISEL PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E MARYLYN AVE
STATE COLLEGE PA
16801-6269
US

IV. Provider business mailing address

487 SPOTTS RD
JULIAN PA
16844-9215
US

V. Phone/Fax

Practice location:
  • Phone: 814-238-3322
  • Fax:
Mailing address:
  • Phone: 814-933-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034437
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: