Kfdd Physical Therapy & Sports Medicine Clinic
NPI 1013028505ActiveOrganization· Physical Therapist· Ogden, UT
Physical Therapist in Ogden, Utah, registered in NPPES in August 2006. The authorized official on file is Chris Holmgren Dahlberg, P.T., Corporation President, Business Own. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013028505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Apr 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 115411-2401 | UT |
| Physical Therapist | 225100000X | 114380-2401 | UT |
| Physical Therapist, Orthopedic | 2251X0800X | 115411-2401 | UT |
| Physical Therapist, Orthopedic | 2251X0800X | 114380-2401 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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