DR. ANNAH BENEDICT DAHLE (DPT) – Physical Therapist, NPI 1790204881

DR. ANNAH BENEDICT DAHLE (DPT) is a healthcare provider. based in Salmon, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-4060 (ID). The NPI Number for DR. ANNAH BENEDICT DAHLE (DPT) is 1790204881

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNAH BENEDICT DAHLE (DPT)
NPI
1790204881
Phone
(208) 940-2170
Address
812 SHOUP ST
Enumeration Date
11 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087421982
Graduation Year
2015 (11 years ago)
PAC ID
1456780733
Group Practice PAC ID
5193154474
Professional Enrollment ID
I20200410001185
Address ID
ID834674305SA812XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for DR. ANNAH BENEDICT DAHLE (DPT)

  • 812, Shoup Street, Salmon, Lemhi County, Idaho, 83467, United States

    SALMON, ID 834674305

    Phone: (208) 940-2170

    Fax: (208) 756-2354

    Type: Mailing

  • PORGY & PETUNIA'S PEDIATRIC THERAPY 111 E LILLIAN

    SUITE 8

    SALMON, ID 83467

    Phone: (208) 940-2170

    Fax: (208) 756-2354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200410001185IPhysical Therapist In Private PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes56149$0
97140Therapy procedure using manual technique, each 15 minutes42451$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20641$0
97530Therapy procedure using functional activities12341$0
97035Application of ultrasound, each 15 minutes9432$0
View full utilization report →

Insurance plans in this area (ZIP 83467)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193154474View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

Where can patients find DR. ANNAH BENEDICT DAHLE (DPT)'s NPI?
You can confirm DR. ANNAH BENEDICT DAHLE (DPT) with NPI 1790204881; it appears in the national provider directory.
Is DR. ANNAH BENEDICT DAHLE (DPT) currently active in the NPI registry?
CMS-published data lists DR. ANNAH BENEDICT DAHLE (DPT) as an active registrant.
What field does DR. ANNAH BENEDICT DAHLE (DPT) work in?
You can think of DR. ANNAH BENEDICT DAHLE (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANNAH BENEDICT DAHLE (DPT)?
The snapshot lists Salmon, Idaho for DR. ANNAH BENEDICT DAHLE (DPT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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