Individual provider Active NPI

Christopher S Dahl, MPT

  • Physical Therapist
  • Monument, CO
National Provider Identifier
1124008180
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0006781 Issued in CO
Practice address
15909 Jackson Creek Pkwy Ste 105
Monument, CO 80132
Phone
(719) 481-0899
Fax
(719) 481-0897
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205880 VA
Physical Therapist 225100000X 0006781 CO Primary

Addresses

Primary practice location

15909 Jackson Creek Pkwy Ste 105
Monument, CO 80132

Mailing address

15909 Jackson Creek Pkwy Ste 105
Monument, CO 80132-8693
Phone (719) 481-0899

Other practice location 1

3425 Austin Bluffs Pkwy
Suite 105
Colorado Springs, CO 80918-5701
Phone (719) 265-6601

Other practice location 2

3425 Austin Bluffs Pkwy
Suite 105
Colorado Springs, CO 80918-5701
Phone (719) 265-6601

Other identifiers 12

IdentifierTypeStateIssuer
0392740OtherMEDICAID WELFARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
7509675OtherAETNA US HEALTHCARE
Y68346OtherBLUE SHIELD HMO BLUE
0392740MedicaidMA
042472266OtherTHREE RIVERS
785950OtherMVP HEALTH CARE
Y68346OtherBLUE SHIELD INDEMNITY
042472266OtherONE HEALTH PLAN
Y68346OtherBLUE CARE ELECT
90547OtherFALLON COMMUNITY HEALTH P
Y69423OtherMEDICARE B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131122000089 CO Practitioner - Physical Therapist in Private Practice 9931169315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1130 W Woodmen Rd
Colorado Springs, CO 80919-2726
Phone 7195745562231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006781COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phenix Therapies, LLC Physical Therapist CurrentSince Jun 20, 2020 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 16, 2019 Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Feb 1, 2014 Accepting new patients
Nursing and Therapy Services of Colorado Inc Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 16, 2019 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Bodies in Motion Physical Therapy, LLC Physical Therapist PastSince Aug 10, 2006 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 1, 2021 Accepting new patients
Bodies in Motion Physical Therapy III, LLC Physical Therapist PastSince May 2, 2011 Accepting new patients
All Abilities Health & Rehab PLLC Physical Therapist PastSince Apr 26, 2021 Accepting new patients

Locations

1230 Tenderfoot Hill Rd
Ste 155
Colorado Springs, CO 80906
Phone (719) 527-3383

1130 W Woodmen Rd
Colorado Springs, CO 80919
Phone (719) 574-5562

1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 265-6601

660 Golden Ridge Rd
Ste 130
Golden, CO 80401
Phone (303) 275-2190

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

15909 Jackson Creek Pkwy
Monument, CO 80132
Phone (719) 481-0899

15909 Jackson Creek Pkwy
Ste 110
Monument, CO 80132
Phone (719) 481-0897

15909 Jackson Creek Pkwy
Ste 105
Monument, CO 80132
Phone (719) 481-0899

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1124008180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 JACKSON CREEK PKWY STE 105",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328693",
            "telephone_number": "719-481-0899",
            "fax_number": "719-481-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 JACKSON CREEK PKWY STE 105",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-481-0899",
            "fax_number": "719-481-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 Austin Bluffs Pkwy",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185701",
            "country_code": "US",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Austin Bluffs Pkwy",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185701",
            "country_code": "US",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205880",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0006781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WELFARE",
            "identifier": "0392740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7509675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HMO BLUE",
            "identifier": "Y68346",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392740",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "785950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDEMNITY",
            "identifier": "Y68346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE ELECT",
            "identifier": "Y68346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH P",
            "identifier": "90547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "Y69423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.