Active NPI
Michele Lynne Dorbeck, LMT
- Massage Therapist
- Davenport, IA
National Provider Identifier
1043735301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 004704
- Practice address
- 1850 E 53Rd St Ste 2
Davenport, IA 52807-2784 - Phone
- (309) 314-3587
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 004704 | IA | Primary |
Addresses
Primary practice location
1850 E 53Rd St Ste 2
Davenport, IA 52807-2784
Mailing address
1850 East 53Rd Street
Suite 2
Davenport, IA 52807
Phone (309) 314-3587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225700000X | Other | IA | MASSAGE THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043735301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 EAST 53RD STREET",
"address_2": "SUITE 2",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "309-314-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E 53RD ST STE 2",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072784",
"telephone_number": "309-314-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORBECK",
"first_name": "MICHELE",
"middle_name": "LYNNE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IA",
"license": "004704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "225700000X",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.