Active NPI
Audrey Rose Dorshimer, DPT
- Physical Medicine & Rehabilitation Physician
- Evergreen, CO
National Provider Identifier
1114428869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0015405
- Practice address
- 30940 Stagecoach Blvd # E110
Evergreen, CO 80439-7984 - Phone
- (303) 674-1594
- NPI assigned
- Feb 27, 2018
- Last updated
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0015405 | CO | MD | Mental 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.