Active NPI
Kaitlyn Dahlgren, DPT
- Physical Therapist
- Isanti, MN
National Provider Identifier
1316633308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12372
- Practice address
- 300 5TH Ave NE # 200
Isanti, MN 55040-2205 - Phone
- (763) 688-9750
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- 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 | 12372 | MN | Primary |
Addresses
Primary practice location
300 5TH Ave NE # 200
Isanti, MN 55040-2205
Mailing address
300 5TH Ave NE # 200
Isanti, MN 55040-2205
Phone (763) 688-9750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12372 | MN | MD | Physical Therapist |
Interoperability endpoints
- kdahlgren437295@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1316633308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 5TH AVE NE # 200",
"city": "ISANTI",
"state": "MN",
"postal_code": "550402205",
"telephone_number": "763-688-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 5TH AVE NE # 200",
"city": "ISANTI",
"state": "MN",
"postal_code": "550402205",
"telephone_number": "763-688-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLGREN",
"first_name": "KAITLYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "12372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isanti, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.