Individual provider Active NPI

Amy Dore, D.P.T.

  • Physical Therapist
  • Pacific Grove, CA
National Provider Identifier
1023040508
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25427 Issued in CA
Practice address
1199 Forest Avenue
Suite #2
Pacific Grove, CA 93950-5100
Phone
(831) 643-9643
Fax
(831) 643-9653
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25427 CA Primary

Addresses

Primary practice location

1199 Forest Avenue
Suite #2
Pacific Grove, CA 93950-5100

Mailing address

1199 Forest Ave
Suite #2
Pacific Grove, CA 93950-5100
Phone (831) 643-9643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000725 CA Practitioner - Physical Therapist in Private Practice 4981634326 Practice locations: Pacific Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 16TH St
Suite 105
Pacific Grove, CA 93950-3351
Phone (831) 643-9643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25427CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Physical Therapy and Sports Rehabilitation Center, Inc. Physical Therapist PastSince Apr 1, 2002 Accepting new patients
Amy Dore DPT Physical Therapy Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Axis Physical Therapy Physical Therapist PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023040508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 FOREST AVE",
            "address_2": "SUITE #2",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505100",
            "telephone_number": "831-643-9643",
            "fax_number": "831-643-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 FOREST AVENUE",
            "address_2": "SUITE #2",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505100",
            "telephone_number": "831-643-9643",
            "fax_number": "831-643-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORE",
        "first_name": "AMY",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.