Individual provider Active NPI

Dawn Carlson

  • Pediatric Physical Therapist
  • Grand Rapids, MN
National Provider Identifier
1184576266
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
6379 Issued in MN
Practice address
901 SW 22ND Ave
Grand Rapids, MN 55744-3067
Phone
(218) 259-8380
NPI assigned
Feb 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 6379 MN Primary

Addresses

Primary practice location

901 SW 22ND Ave
Grand Rapids, MN 55744-3067

Mailing address

19184 Ashley LN
Grand Rapids, MN 55744-5795
Phone (218) 259-8380

Other practice location 1

1000 NE 8th Ave
Grand Rapids, MN 55744-2354
Phone (218) 259-8380

Other practice location 2

1195 NE 10th St
Grand Rapids, MN 55744-3166
Phone (218) 259-8380

Other practice location 3

100 Husky Boulevard
Big Fork, MN 56628
Phone (218) 259-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6379MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1184576266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19184 ASHLEY LN",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557445795",
            "telephone_number": "218-259-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW 22ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443067",
            "telephone_number": "218-259-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 NE 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557442354",
            "country_code": "US",
            "telephone_number": "218-259-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1195 NE 10th St",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557443166",
            "country_code": "US",
            "telephone_number": "218-259-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Husky Boulevard",
            "address_purpose": "LOCATION",
            "city": "Big Fork",
            "state": "MN",
            "postal_code": "56628",
            "country_code": "US",
            "telephone_number": "218-259-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MN",
            "license": "6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.