NPI 1104693977 · live from the CMS NPI Registry
Dequan Van Bond, PT, DPT
Physical Therapist in Washington, DC. National Provider Identifier 1104693977, active.
NPI record
| NPI | 1104693977 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1301 Pennsylvania Ave Se, Washington, DC 20003 |
| Practice phone | 202-455-8644 |
| Mailing address | 200 N Robertson Blvd Ste 301, Beverly Hills, CA 90211 |
| Enumerated | December 11, 2023 |
| Last updated | August 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Physical Therapist primary | 225100000X | 15039 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.