Healthcare Provider Details

I. General information

NPI: 1407320021
Provider Name (Legal Business Name): DYLAN OBRIGEWITCH DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 NW MYHRE RD STE 102, KITSAP PHYSICAL THERAPY
SILVERDALE WA
98383
US

IV. Provider business mailing address

2400 NW MYHRE RD STE 101
SILVERDALE WA
98383
US

V. Phone/Fax

Practice location:
  • Phone: 360-598-3764
  • Fax: 360-598-3282
Mailing address:
  • Phone: 360-598-3764
  • Fax: 360-598-3282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT70150564-CP
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: