Nannine Knoerzer Dahlen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001044 Issued in FL

Practice address

1425 Hand Ave
Ormond Beach, FL 32174-1135

Phone

(386) 299-3192

NPI assigned

Oct 2, 2008

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

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1528219920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 JOHN ANDERSON DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321762110",
            "telephone_number": "386-441-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741135",
            "telephone_number": "386-299-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEN",
        "first_name": "NANNINE",
        "middle_name": "KNOERZER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "001044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. Dotson, LLC
• Alfred R. D'Angelo, D.O.
• Gemma D'Souza, MD
• Ashleigh Dahl, LMT
• Cynthia An Dahl, RD, LD
• Nona Damore, LMHC
• Daniel a Warner, M.D., P.a.
• Argene K Danielides, PH.D.
• Crispin Hipos Danlag, RPT
• Danny M Farmer MD PA

• Physical Therapist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.