Active NPI
Keri Dahlstrom
- Physical Therapist
- Nevada City, CA
National Provider Identifier
1932546587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23063
- Practice address
- 351 Providence Mine Rd
Nevada City, CA 95959-2980 - Phone
- (530) 263-6974
- Fax
- (530) 362-4640
- NPI assigned
- May 22, 2013
- Last updated
- Apr 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT23063 | CA | |
| Physical Therapist | 225100000X | 23063 | CA | Primary |
Addresses
Primary practice location
351 Providence Mine Rd
Nevada City, CA 95959-2980
Mailing address
12535 Madrone Forest Dr
Nevada City, CA 95959-9673
Phone (530) 477-6330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
208 Providence Mine Rd
Suite 122
Nevada City, CA 95959-2955
Phone (530) 263-6974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23063 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Hill Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Spring Hill Physical Therapy and Acupuncture | Physical Therapist | Past | Accepting new patients |
Locations
300 Sierra College Dr
Ste 165
Grass Valley, CA 95945
Phone (530) 274-2320
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.
-
- Physical Therapist
- Grass Valley, CA
- NPI 1770869711
-
- Chiropractor
- Nevada City, CA
- NPI 1881069110
-
- Physical Therapist
- Grass Valley, CA
- NPI 1457443947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1932546587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12535 MADRONE FOREST DR",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599673",
"telephone_number": "530-477-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 PROVIDENCE MINE RD",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592980",
"telephone_number": "530-263-6974",
"fax_number": "530-362-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLSTROM",
"first_name": "KERI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23063",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "23063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.