Individual provider Active NPI

Lina Basil Dahman, PT, DPT

  • Physical Therapist
  • Griffin, GA
National Provider Identifier
1205352796
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013118 Issued in GA
Practice address
1438 Highway 16 W Ste C
Griffin, GA 30223-2096
Phone
(770) 233-0350
Fax
(770) 233-0370
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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 PT013118 GA Primary

Addresses

Primary practice location

1438 Highway 16 W Ste C
Griffin, GA 30223-2096

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016003431 GA Practitioner - Physical Therapist in Private Practice 9032485289 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

575 Professional Dr
Suite 370
Lawrenceville, GA 30046-3334
Phone (678) 205-5420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 16, 2017 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 16, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 16, 2017 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 16, 2017 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Apr 8, 2022 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Apr 8, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

2065 Grayson Hwy
Ste B
Grayson, GA 30017
Phone (678) 367-0213

1438 Highway 16 W
Ste C
Griffin, GA 30223
Phone (770) 233-0350

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

575 Professional Dr
Ste 370
Lawrenceville, GA 30046
Phone (678) 205-5420

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 7

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1205352796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 HIGHWAY 16 W STE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232096",
            "telephone_number": "770-233-0350",
            "fax_number": "770-233-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHMAN",
        "first_name": "LINA",
        "middle_name": "BASIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.