Individual provider Active NPI

McKenna K Dahlgrin, DPT, MBA

  • Physical Therapist
  • Saint Joseph, MO
National Provider Identifier
1649044934
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023006442 Issued in MO
Practice address
3007 N Belt Hwy Ste L
Saint Joseph, MO 64506-1557
Phone
(402) 410-1222
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023006442 MO Primary

Addresses

Primary practice location

3007 N Belt Hwy Ste L
Saint Joseph, MO 64506-1557

Mailing address

3007 N Belt Hwy Ste L
Saint Joseph, MO 64506-1557
Phone (402) 410-1222

Other names 1

  • McKenna Griess Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205003850 MO Practitioner - Physical Therapist in Private Practice 2062942063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sports Medicine Center LLCGroup PAC ID 5294700449, 20 clinicians

Practice addresses (Care Compare)

3105 Frederick Ave
Saint Joseph, MO 64506-2960
Phone (816) 233-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center, LLC CurrentSince Feb 24, 2025 Accepting new patients
Orthopedic & Sports Medicine Center LLC CurrentSince Feb 24, 2025 Accepting new patients

Locations

3107 Frederick Ave
Ste B
Saint Joseph, MO 64506
Phone (816) 233-9888

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

3105 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 233-9888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1649044934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 N BELT HWY STE L",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061557",
            "telephone_number": "402-410-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 N BELT HWY STE L",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061557",
            "telephone_number": "402-410-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLGRIN",
        "first_name": "MCKENNA",
        "middle_name": "K",
        "credential": "DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023006442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENNA",
            "last_name": "GRIESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.