Individual provider Active NPI

Deborah Harmon Dahn, PT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1174088645
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1313571 Issued in TX
Practice address
6601 Harris Pkwy
Fort Worth, TX 76132-6108
Phone
(817) 433-9742
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1313571 TX Primary

Addresses

Primary practice location

6601 Harris Pkwy
Fort Worth, TX 76132-6108

Mailing address

3701 W 5TH St
Fort Worth, TX 76107-2019
Phone (772) 284-6608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824000432 FL Practitioner - Physical Therapist in Private Practice 7214353192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceanside Physical Therapy, IncGroup PAC ID 0547246233, 3 clinicians

Practice addresses (Care Compare)

931 SE Ocean Blvd
Suite a
Stuart, FL 34994-2425
Phone (772) 283-3820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1313571TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

931 SE Ocean Blvd
Ste A
Stuart, FL 34994
Phone (772) 283-3820

Organizations & group practices 1

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1174088645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W 5TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072019",
            "telephone_number": "772-284-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326108",
            "telephone_number": "817-433-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHN",
        "first_name": "DEBORAH",
        "middle_name": "HARMON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1313571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.