Sean O Dahlstrom

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OC61409258 Issued in WA

Practice address

9307 Bridgeport Way SW
Lakewood, WA 98499-1570

Phone

(253) 201-1234

NPI assigned

Jul 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cole Sky Therapy PLLC

  dba Cole Academy

  • Behavior Analyst
  • Lakewood, WA
  • NPI 1720707078

  Multi-Specialty

  NPD
• Sky Bridge Therapies LLC

  • Developmental Disabilities Clinic/Center
  • Lakewood, WA
  • NPI 1356855530

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1205515111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 1ST AVE W",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572621922",
            "telephone_number": "970-506-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991570",
            "telephone_number": "253-201-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLSTROM",
        "first_name": "SEAN",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OC61409258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Cyr
• Megan D'Angelo
• Albert Max D'Heurle, M.D.
• Noor Daghistani
• Lillian Lehua Daheim, AAS
• Heather Elizabeth Daley, BA
• Joni Lynne Dalton, PT ASSISTANT
• Erin Daly, BA
• Heather Rae Lynn Damgaard
• Erika Alice Dancer, LMP

• Pediatric Occupational Therapist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.