MEDICARE: RILEY ALDEN DALSEMER 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	PT021229	OH
2	225100000X	Physical Therapist	PT44181	FL

General Provider Information

NPI Number	:	1679447148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RILEY ALDEN DALSEMER DPT

Provider Business Mailing Address
First Line	:	10155 DOWDEN RD STE 302
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-5227
Country	:	US
Telephone Number	:	407-569-1700
Fax Number	:	407-569-1701

Provider Business Practice Location Address
First Line	:	10155 DOWDEN RD STE 302
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-5227
Country	:	US
Telephone Number	:	407-569-1700
Fax Number	:	407-569-1701

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

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	12/29/2025

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