Katelyn Elise Dahl, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9740 Issued in MN

Practice address

5101 County Road 101
Minnetonka, MN 55345-4163

Phone

(952) 512-2400

Fax

(952) 512-2409

NPI assigned

Aug 14, 2014

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

Other names 1

• Katelyn Elise Pelto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1144629296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178005",
            "telephone_number": "952-448-9081",
            "fax_number": "952-448-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 COUNTY ROAD 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454163",
            "telephone_number": "952-512-2400",
            "fax_number": "952-512-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "KATELYN",
        "middle_name": "ELISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "PELTO",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curam, Inc.
• Susan Joyce Cushman, M.D.
• Alison Cutshall
• Margaret Mary Czernia, MS, LPCC
• Brittany Dagostino
• Brooke Dahlin
• Christina Dahling
• Lauren Daiuto
• Colleen Dale, LICSW
• Kathleen Dando, MSW, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.