Meagan C Dahl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

64059 Issued in OR

Practice address

336 SW Cyber Dr Ste 107
Bend, OR 97702-1682

Phone

(541) 382-5500

NPI assigned

May 24, 2021

Sex

Female

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

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pelvic Wellness Center of SalemGroup PAC ID 9133461718, 7 clinicians

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 and National Provider Directory roles.

• Pelvic Wellness Center of Salem

  • Physical Therapist
  • Salem, OR
  • NPI 1689130270
  Medicare reassignment Care Compare group NPD
• Promotion Advanced Functional Rehab LLC

  • Orthopedic Physical Therapist
  • Stayton, OR
  • NPI 1710932710
  Medicare reassignment NPD
• Promotion Advanced Functional Rehab, LLC

  • Physical Therapist
  • Silverton, OR
  • NPI 1689051658
  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1376118190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SW CYBER DR STE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021682",
            "telephone_number": "541-382-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "MEAGAN",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-12-30",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Czyszczon, D.O.
• D.a.W.N.S House
• D'Arcy Swanson Inc.
• Laurie Cordaro D'Avignon, M.D.
• Louis M D'Avignon, MD
• William Dai, PHARM.D
• Mary Angela Dallas, MD
• Ella Daly, LMT
• Shannon Suzanne Dames, RN
• Mary Kathleen Dammarell, RN

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.