Active NPI
Dawn B Dahlen, P.T.
- Orthopedic Physical Therapist
- Cumming, GA
National Provider Identifier
1922174259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5325
- Practice address
- 7220 Scotshire Way
Suite 100
Cumming, GA 30040-7396 - Phone
- (678) 206-6201
- Fax
- (678) 206-6201
- NPI assigned
- Nov 28, 2006
- Last updated
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5325 | GA | Primary |
Addresses
Primary practice location
7220 Scotshire Way
Suite 100
Cumming, GA 30040-7396
Mailing address
306 Spruce Manor CT
Canton, GA 30114-9791
Phone (678) 493-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20265I8113 | Other | GA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7220 Scotshire Way
Cumming, GA 30040-7396
Phone (954) 816-3130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5325 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Independence LLC | Orthopedic | Current | Accepting new patients |
| Collierville Orthopedics and | Orthopedic | Past | Accepting new patients |
| Delta Orthopaedics & Sports Medicine, PLLC | Past | Accepting new patients |
Locations
6090 Southard Trce
Cumming, GA 30040
Interoperability endpoints
- https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1922174259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SPRUCE MANOR CT",
"city": "CANTON",
"state": "GA",
"postal_code": "301149791",
"telephone_number": "678-493-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 SCOTSHIRE WAY",
"address_2": "SUITE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300407396",
"telephone_number": "678-206-6201",
"fax_number": "678-206-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLEN",
"first_name": "DAWN",
"middle_name": "B",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "5325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "20265I8113",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.