Active NPIIndividual provider

Chad Dybdahl, PT

Physical Therapist in Grants Pass, Oregon

NPI Number1124207535
Practice location
702 SW Ramsey Ave, Ste. 220, Grants Pass, OR 97527-5858
Fax
541-479-3461
Last updated
November 2, 2012

Chad Dybdahl, PT is a Physical Therapist based in Grants Pass, OR. Chad Dybdahl, PT holds the professional credentials of PT. The NPI number for Chad Dybdahl, PT is 1124207535 and holds license No. 5509 (OR). The current practice location address is 702 SW Ramsey Ave, Ste. 220, Grants Pass, OR 97527-5858 and the office can be reached by phone at 541-479-0765 and by fax at 541-479-3461. The NPI was assigned on November 1, 2007 and the record was last updated in NPPES on November 2, 2012.

●Provider Profile Details

NPI Number
1124207535
Provider Name
Chad Dybdahl
Credential
PT
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Enumeration Date
November 1, 2007
Last Update Date
November 2, 2012
NPI Status
Active

◉Business Practice Location Address

Address
702 SW Ramsey Ave
Ste. 220
Grants Pass, OR 97527-5858
State
Oregon
ZIP
97527-5858
Country
US
Phone Number
541-479-0765
Fax Number
541-479-3461

Get directions →

✉Business Mailing Address

Address
16083 SW Upper Boones Ferry RD
Ste. 300
Tigard, OR 97224-7736
City
Tigard
State
OR
ZIP
97224-7736
Phone Number
800-219-8835
Fax Number
503-639-9699

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Therapist225100000XYes5509OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

☉Other providers near Grants Pass, OR

View all providers in Grants Pass →

?Frequently Asked Questions

What is the NPI number of Chad Dybdahl, PT?

The NPI number of Chad Dybdahl, PT is 1124207535. It was assigned on November 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Chad Dybdahl, PT?

Chad Dybdahl, PT is registered under the primary taxonomy Physical Therapist (code 225100000X) and holds license No. 5509 (OR).

Where does Chad Dybdahl, PT practice?

The practice location is 702 SW Ramsey Ave, Ste. 220, Grants Pass, OR 97527-5858. The office can be reached at 541-479-0765 (phone) or 541-479-3461 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124207535 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

Browse related providers