Individual provider Active NPI

Courtney Marie Dahlgren, DPT

  • Physical Therapist
  • Lemmon, SD
National Provider Identifier
1700515004
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2437 Issued in SD
Practice address
601 Main Ave
Lemmon, SD 57638-1834
Phone
(605) 374-5844
Fax
(605) 374-9524
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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 2437 SD Primary

Addresses

Primary practice location

601 Main Ave
Lemmon, SD 57638-1834

Mailing address

601 Main Ave
Lemmon, SD 57638-1834
Phone (605) 374-5844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808002527 SD Practitioner - Physical Therapist in Private Practice 8426430414 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
Hands on Health IncGroup PAC ID 9537055496, 2 clinicians

Practice addresses (Care Compare)

105 W Main
Bison, SD 57620-7620
Phone (605) 374-5844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2437SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Health, Inc. Physical Therapist CurrentSince Jun 14, 2022 Accepting new patients
Hands on Health, Inc. Physical Therapist CurrentSince Jun 14, 2022 Accepting new patients

Locations

601 Main Ave
Lemmon, SD 57638
Phone (605) 374-5844

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

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1700515004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAIN AVE",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381834",
            "telephone_number": "605-374-5844",
            "fax_number": "605-374-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN AVE",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381834",
            "telephone_number": "605-374-5844",
            "fax_number": "605-374-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLGREN",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemmon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.