Diane Kay Opdahl, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6347 Issued in MN

Practice address

10903 Excelsior Blvd
Hopkins, MN 55343-3420

Phone

(952) 933-1150

Fax

(952) 930-3304

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspring Health Center PLLCGroup PAC ID 2860557469, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellspring Health Center PLLC

  • Medical Specialty Clinic/Center
  • Hopkins, MN
  • NPI 1235380981
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1013149319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 EXCELSIOR BLVD",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433420",
            "telephone_number": "952-933-1150",
            "fax_number": "952-930-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 EXCELSIOR BLVD",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433420",
            "telephone_number": "952-933-1150",
            "fax_number": "952-930-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPDAHL",
        "first_name": "DIANE",
        "middle_name": "KAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Janet Oman
• Fowzan Abdifatah Omar
• Hirsi Omar
• Iman Said Omar
• Kamaleldin Osman Omar
• Open Arms Solutions LLC
• Open Circle Adult Day Center
• Michael Opsahl, PHARM D
• Dagan Osman
• Kari Owen

• Physical Therapist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.