Chris H Dahlberg, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

115411-2401 Issued in UT

Practice address

2261 Kiesel Ave Ste 320
Ogden, UT 84401-1969

Phone

(801) 621-8835

Fax

(801) 528-5357

NPI assigned

Aug 31, 2006

Last updated

Nov 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KFDD Physical Therapy & Sports Medicine Clinic

  dba Sports Medicine Clinic

  • Physical Therapist
  • Ogden, UT
  • NPI 1013028505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1366553208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 KIESEL AVE STE 320",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011969",
            "telephone_number": "801-621-8835",
            "fax_number": "801-528-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 KIESEL AVE STE 320",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011969",
            "telephone_number": "801-621-8835",
            "fax_number": "801-528-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "CHRIS",
        "middle_name": "H",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "115411-2401",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "115411-2401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870375865000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breana Cutler
• Bethany Czuba, LCSW
• Tyler J D'Hulst, PA-C
• Amanda Marie Dabb, L.C.S.W.
• Carly M. Dahl, MD
• Matthew Eric Dahlin, LCSW
• Olga Lucia Daich
• Clint Daligdig
• Dan Dan, MD
• Jamie Dangerfield

• Physical Therapist in Ogden, UT
• Providers in Ogden, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.