Individual provider Active NPI

Leslie Robert Dorf, P.T.

  • Physical Therapist
  • Broomall, PA
National Provider Identifier
1023167780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007440L Issued in PA
Practice address
419 Lawrence Rd
Broomall, PA 19008-3748
Phone
(610) 353-2606
Fax
(610) 353-5963
NPI assigned
Jan 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PT007440L PA Primary

Addresses

Primary practice location

419 Lawrence Rd
Broomall, PA 19008-3748

Mailing address

303 McFarland Dr
Downingtown, PA 19335-1386
Phone (610) 518-0929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912001192 PA Practitioner - Physical Therapist in Private Practice 2466816301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

555 E Lancaster Ave
Radnor, PA 19087-5158
Phone (484) 577-8950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007440LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jul 23, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jan 16, 2024 Accepting new patients
Medical Rehabilitation Centers of PA, P.C. Past Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

558 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

331 Wilmington W Chester Pike
Glen Mills, PA 19342
Phone (610) 270-0370

331 Wilmington W Chester Pike
Ste 1
Glen Mills, PA 19342
Phone (610) 651-8282

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

555 E Lancaster Ave
Radnor, PA 19087
Phone (267) 507-7572

1167 Wilmington Pike
West Chester, PA 19382
Phone (484) 567-4343

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023167780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MCFARLAND DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351386",
            "telephone_number": "610-518-0929",
            "fax_number": "610-518-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 LAWRENCE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083748",
            "telephone_number": "610-353-2606",
            "fax_number": "610-353-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORF",
        "first_name": "LESLIE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007440L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.