David Aaron Doubblestein, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009001 Issued in MI

Practice address

4466 W Bristol Rd
Flint, MI 48507-3170

Phone

(810) 285-8523

Fax

(810) 820-9582

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kempton Physical Therapy & Sports Medicine

  • Physical Therapist
  • Mesa, AZ
  • NPI 1568455608
  Medicare reassignment NPD
• Living Hope Physical Therapy, L.L.C.

  • Physical Therapist
  • Newaygo, MI
  • NPI 1528248200
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1013005479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-285-8523",
            "fax_number": "810-820-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-285-8523",
            "fax_number": "810-820-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBBLESTEIN",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013005479",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dort Pharmacy LLC (medicap pharmacy)
• Jordan Dortman
• Jennifer J Dosh
• Kenyetta Velores Dotson, BAS
• Susan L Doty, DDS MS
• Douglas M Iddings PC
• Jacqulyn Douglas
• Jessica Lynn Douglas, PA-C
• Julia Mae Douglas, PTA
• Tia Douglas, SST

• Physical Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.