Wendy Eda Shaw Dahl, MPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT26044 Issued in CA

Practice address

1248 Laurel LN
San Luis Obispo, CA 93401-5860

Phone

(805) 748-2335

Fax

(805) 544-6262

NPI assigned

Feb 23, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760517023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12046",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934062046",
            "telephone_number": "805-748-2335",
            "fax_number": "805-544-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 LAUREL LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015860",
            "telephone_number": "805-748-2335",
            "fax_number": "805-544-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "WENDY",
        "middle_name": "EDA SHAW",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT26044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT26044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Cusworth, NONE
• D Danz & Sons Inc
• Vanessa Marie D'Antonio, FNP
• Pranav D. Dadhich, MD
• Julie Ann Daggett, PH.D.
• William A Dahlstrom, PSY.D.
• Mark Denis Daigle, M.D.
• Matthew Dailey, DDS, MD
• Alexi Dalebout, PT
• Rebecca Lynn Dallmann

• All providers in San Luis Obispo, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.