Individual provider Active NPI

Dawn B Dahlen, P.T.

  • Orthopedic Physical Therapist
  • Cumming, GA
National Provider Identifier
1922174259
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5325 Issued in GA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20265I8113OtherGAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000632 GA Practitioner - Physical Therapist in Private Practice 2466410790 Reassigns benefits to 1 organization

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
Core Independence LLCGroup PAC ID 7416177373, 2 clinicians

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

LicenseStateTypeSpecialty
5325GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Independence LLC Orthopedic CurrentSince Oct 26, 2013 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.