Individual provider Active NPI

Shelby Trosdahl, PT, DPT

  • Physical Therapist
  • Battle Lake, MN
National Provider Identifier
1780107557
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10743 Issued in MN
Practice address
105 Glen Haven Dr
Battle Lake, MN 56515-4010
Phone
(218) 282-0455
NPI assigned
Jul 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13506 AZ
Physical Therapist 225100000X MN
Physical Therapist 225100000X 10743 MN Primary

Addresses

Primary practice location

105 Glen Haven Dr
Battle Lake, MN 56515-4010

Mailing address

PO Box 204
Battle Lake, MN 56515-0204
Phone (218) 282-0455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305004132 MN Practitioner - Physical Therapist in Private Practice 3375979099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Total Body LLCGroup PAC ID 3476083296, 5 clinicians

Practice addresses (Care Compare)

110 W Henning St
Apt 121
Battle Lake, MN 56515-2904
Phone (218) 282-1793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13506AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body LLC Physical Therapist CurrentSince Feb 5, 2025 Accepting new patients

Organizations & group practices 1

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1780107557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565150204",
            "telephone_number": "218-282-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GLEN HAVEN DR",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565154010",
            "telephone_number": "218-282-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROSDAHL",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13506",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.