Individual provider Active NPI

Kara Louise Dahlberg, LMT, CPT

  • Massage Therapist
  • Flint, MI
National Provider Identifier
1932671682
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501011321 Issued in MI
Practice address
310 E 3Rd St
Flint, MI 48502-1703
Phone
(810) 206-2640
NPI assigned
Dec 19, 2018
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MI
Massage Therapist 225700000X 7501011321 MI Primary
Recreation Therapist 225800000X MI

Addresses

Primary practice location

310 E 3Rd St
Flint, MI 48502-1703

Mailing address

4452 Thrushfield CT
Flint, MI 48507-5624

Other practice location 1

432 N Saginaw St Ste 401A
Flint, MI 48502-2013
Phone (810) 449-2714

Other names 1

  • Kara Louise Suppes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.81ohm.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501011321MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Health and Fitness Center Inc. Past 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, 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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1932671682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 THRUSHFIELD CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 3RD ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021703",
            "telephone_number": "810-206-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 N Saginaw St Ste 401A",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485022013",
            "country_code": "US",
            "telephone_number": "810-449-2714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "KARA",
        "middle_name": "LOUISE",
        "credential": "LMT, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011321",
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.81ohm.com",
            "affiliation": "N",
            "endpointDescription": "www.81ohm.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4452 Thrushfield Ct",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485075624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "SUPPES",
            "middle_name": "LOUISE",
            "credential": "LMT, CPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.