Active NPI
Thomas Leonard Dahl II, P.T.
- Physical Therapist
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20878
- Practice address
- 15700 37TH Ave N Ste 220
Plymouth, MN 55446 - Phone
- (651) 968-5201
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20878 | FL | Primary |
Addresses
Primary practice location
15700 37TH Ave N Ste 220
Plymouth, MN 55446
Mailing address
15700 37TH Ave N Ste 220
Plymouth, MN 55446-3399
Phone (651) 968-5201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184642373 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15700 37TH Ave N
Suite 150
Plymouth, MN 55446-3675
Phone (651) 968-5201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20878 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients |
Locations
15700 37th Ave N
Ste 220
Plymouth, MN 55446
Phone (651) 968-5600
6050 Sycamore Ln N
Plymouth, MN 55442
Phone (651) 968-5462
15700 37th Ave N
Ste 150
Plymouth, MN 55446
Phone (651) 968-1627
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Woodbury, MN
- NPI 1306899463
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1184642373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15700 37TH AVE N STE 220",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463399",
"telephone_number": "651-968-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15700 37TH AVE N STE 220",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55446",
"telephone_number": "651-968-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "THOMAS",
"middle_name": "LEONARD",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "20878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1184642373",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.