Jennifer Doerwaldt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005802 Issued in CT

Practice address

57 Lafayette St
Norwich, CT 06360-3407

Phone

(860) 886-2042

Fax

(860) 885-1811

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, RI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspire Physical Therapy and Wellness, LLCGroup PAC ID 4688073448, 21 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.

• Inspire Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Westerly, RI
  • NPI 1548847221

  CT

  Medicare reassignment Care Compare group NPD
• K Stephens Taylor MD PC

  • Specialist
  • Norwich, CT
  • NPI 1346578978

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1053808352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603407",
            "telephone_number": "860-886-2042",
            "fax_number": "860-885-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603407",
            "telephone_number": "860-886-2042",
            "fax_number": "860-885-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERWALDT",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Dierman, APRN
• Joseph William Difrancesca, DPM
• Timothy Dileo
• Robert G. Dinwoodie, D.O.
• Allison Divicino, LMFT
• Patrick William Dolan, LCSW
• Pamela J Dole, EDD, MPH, FNP
• Elizabeth Anne Dominguez, LCSW
• Carol Donahue
• Cristine Donaruma, FNP

• Physical Therapist in Norwich, CT
• Providers in Norwich, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.