Nicholas James Dahlin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2126727 Issued in TX

Practice address

921 Nolan St
San Antonio, TX 78202

Phone

(210) 226-6397

NPI assigned

Aug 24, 2018

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1215418520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 NOLAN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022323",
            "telephone_number": "210-226-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 NOLAN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78202",
            "telephone_number": "210-226-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Schofield Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782347577",
            "country_code": "US",
            "telephone_number": "210-916-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHLIN",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2126727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdi Mohamed Dahiyo
• Celeste L Dahl, DNP
• Lauri Ann Dahl, PT
• Kacee Dahlberg
• Isabella Dahlgren
• Eric John Dahlke, DO
• Denise R. Dahm, M.D.
• Haley Daigle, MD
• Heather Marie Daigle
• Tammy S Dailey, PA

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.