Dustin Douglas Dahlberg, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40858 Issued in CA

Practice address

1201 34TH St
San Diego, CA 92102-2416

Phone

(619) 232-2946

NPI assigned

May 15, 2014

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1255742029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 B ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022427",
            "telephone_number": "714-390-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 34TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022416",
            "telephone_number": "619-232-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "DUSTIN",
        "middle_name": "DOUGLAS",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bauer Dahl, DPT
• Patricia Lynn Dahl, R.N.
• Renee Dahl
• Ruth Dahl, LCSW
• Alyssa Dahlberg
• Chelsea Dahlen, LMFT
• Kristen Michelle Dahlin, M.A.
• Haley Rose Dahlke, CCC-SLP
• Abdul Dahman, CADC
• Eric Bernhard Dahms, M.D.

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.