Individual provider Active NPI

Mikaela Karin Dahl, DPT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1902671837
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6325 Issued in NV
Practice address
1610 Robb Dr Ste D5
Reno, NV 89523-3520
Phone
(775) 746-9222
Fax
(775) 746-9224
NPI assigned
Nov 21, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 6325 NV Primary

Addresses

Primary practice location

1610 Robb Dr Ste D5
Reno, NV 89523-3520

Mailing address

1610 Robb Dr Ste D5
Reno, NV 89523-3520
Phone (775) 746-9222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126000553 NV Practitioner - Physical Therapist in Private Practice 2860845815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RDB Physical Therapy PLLCGroup PAC ID 5294109047, 3 clinicians

Practice addresses (Care Compare)

1495 Ridgeview Dr
Suite 120
Reno, NV 89519-6315
Phone (775) 525-9002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6325NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
RDB Physical Therapy PLLC Physical Therapist CurrentSince Mar 9, 2025 Accepting new patients
Custom Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 28, 2023 Accepting new patients
Custom Physical Therapy Limited Partnership Physical Therapist PastSince Nov 26, 2023 Accepting new patients

Locations

1495 Ridgeview Dr
Ste 120
Reno, NV 89519
Phone (775) 323-5458

1610 Robb Dr
Ste D5
Reno, NV 89523
Phone (775) 746-9222

440 E Golden Valley Rd
Ste Ab
Reno, NV 89506
Phone (775) 360-3000

1450 E Prater Way
Ste 103
Sparks, NV 89434
Phone (775) 331-1199

Organizations & group practices 3

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1902671837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ROBB DR STE D5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895233520",
            "telephone_number": "775-746-9222",
            "fax_number": "775-746-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ROBB DR STE D5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895233520",
            "telephone_number": "775-746-9222",
            "fax_number": "775-746-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "MIKAELA",
        "middle_name": "KARIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.