Individual provider Active NPI

Audrey Rose Dorshimer, DPT

  • Physical Medicine & Rehabilitation Physician
  • Evergreen, CO
National Provider Identifier
1114428869
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0015405 Issued in CO
Practice address
30940 Stagecoach Blvd # E110
Evergreen, CO 80439-7984
Phone
(303) 674-1594
NPI assigned
Feb 27, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 0015405 CO Primary

Addresses

Primary practice location

30940 Stagecoach Blvd # E110
Evergreen, CO 80439-7984

Mailing address

1935 N Pennsylvania St Unit 1140
Denver, CO 80203-1360
Phone (517) 290-8121

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0015405COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1114428869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N PENNSYLVANIA ST UNIT 1140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031360",
            "telephone_number": "517-290-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD # E110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397984",
            "telephone_number": "303-674-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSHIMER",
        "first_name": "AUDREY",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "0015405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.