HUGO DAHLSTROM – Occupational Therapist, NPI 1578038907

HUGO DAHLSTROM is a healthcare provider. based in Fort scott, Kansas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 17-02686 (KS). The NPI Number for HUGO DAHLSTROM is 1578038907

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
HUGO DAHLSTROM
NPI
1578038907
Phone
(620) 223-7073
Address
405 WOODLAND HILLS BLVD
Enumeration Date
12 October 2018
Last Update Date
12 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6202237073
Graduation Year
2010 (16 years ago)
PAC ID
2961742507
Group Practice PAC ID
7416297056
Professional Enrollment ID
I20190319001909
Address ID
KS667018799FO405XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

191 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for HUGO DAHLSTROM

  • 405 WOODLAND HILLS BLVD

    FORT SCOTT, KS 667018799

    Phone: (620) 223-7073

    Type: Location

  • 13943, West 150th Terrace, Olathe, Johnson County, Kansas, 66062, United States

    OLATHE, KS 660623326

    Phone:

    Type: Mailing

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: 2019-03-19

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
I20190319001909IOccupational Therapist In Private PracticeKSTBD

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
97530Therapy procedure using functional activities98144$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes48138$0
97140Therapy procedure using manual technique, each 15 minutes7415$0
97165Evaluation for occupational therapy, typically 30 minutes4237$0
View full utilization report →

Insurance plans in this area (ZIP 66701)

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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: 7416297056View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKS
-NE
-KS

Reviews

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Frequently asked questions

How do I look up HUGO DAHLSTROM by NPI?
Use NPI 1578038907 when you need to reference HUGO DAHLSTROM in forms, claims, or directories.
Is HUGO DAHLSTROM currently active in the NPI registry?
CMS-published data lists HUGO DAHLSTROM as an active registrant.
What does HUGO DAHLSTROM treat or focus on?
Patients typically see HUGO DAHLSTROM under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for HUGO DAHLSTROM?
The page summarizes Fort Scott, Kansas for HUGO DAHLSTROM; expand the address list for detail.
Is HUGO DAHLSTROM a real provider?
This page reflects official NPPES data for NPI 1578038907. Always confirm identity and privileges with the practice and licensing boards.

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