Katherine Bauer Dahl, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36469 Issued in CA

Practice address

5677 Oberlin Dr Ste 106
San Diego, CA 92121-1741

Phone

(858) 457-8419

NPI assigned

Mar 3, 2010

Sex

Female

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Therapy Services, Inc.Group PAC ID 0941381719, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Comprehensive Therapy Services, Inc.

  • Physical Therapist
  • San Diego, CA
  • NPI 1750326302
  Medicare reassignment Care Compare group
• Angela Yvonne Acupuncture Inc

  • Acupuncturist
  • San Diego, CA
  • NPI 1285096545
  NPD (past)

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1689997769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 OBERLIN DR STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211741",
            "telephone_number": "858-457-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 OBERLIN DR STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211741",
            "telephone_number": "858-457-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "KATHERINE",
        "middle_name": "BAUER",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jerome Dahl, PHARM.D.
• Caitlin Dahl, RD
• Ella Renee Dahl
• Emily Nicole Dahl
• Jillian Veronica Dahl
• Patricia Lynn Dahl, R.N.
• Renee Dahl
• Ruth Dahl, LCSW
• Alyssa Dahlberg
• Dustin Douglas Dahlberg, DPT, PT

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.