Jason Christopher Dorsch, P.T., A.T.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9032 Issued in AZ

Practice address

1510 S Riordan Ranch St
Flagstaff, AZ 86001-6372

Phone

(928) 214-7303

Fax

(928) 214-0696

NPI assigned

Oct 14, 2010

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 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physio Shop Flagstaff LLCGroup PAC ID 7719416304, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Physio Shop Flagstaff LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1407674872

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• The Physio Shop LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1134524234

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Physio Shop Idaho LLC

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1750242889
  NPD
• Carter Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1336194745
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1023328804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S RIORDAN RANCH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016372",
            "telephone_number": "928-214-7303",
            "fax_number": "928-214-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S RIORDAN RANCH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016372",
            "telephone_number": "928-214-7303",
            "fax_number": "928-214-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSCH",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "875843",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PHYSICAL THERAPY LICENSE",
            "identifier": "9032",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA ATHLETIC TRAINING STATE LICENSE",
            "identifier": "0846",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Dooley
• Sherry Dooley, CCC-SLP
• Melanie Dorn, PHARMD
• Justin Daniel Doroshenko, DO
• Michelle Doroz, DO
• Florian Dorje Dotti
• Haedan Doty, DO
• Douglas M. Savery, O.D., P.C.
• Margaret D Douglas
• Stephanie Denell Dove, LCSW

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.