Individual provider Active NPI

Peter Dooley IV, DPT

  • Orthopedic Physical Therapist
  • Brea, CA
National Provider Identifier
1164899597
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
43122 Issued in CA
Practice address
2767 E Imperial Hwy
Brea, CA 92821
Phone
(714) 578-8720
NPI assigned
Sep 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 43122 CA Primary

Addresses

Primary practice location

2767 E Imperial Hwy
Brea, CA 92821

Mailing address

9041 Bestel Ave
Garden Grove, CA 92844-2230

Other practice location 1

2767 E Imperial Hwy
Brea, CA 92821
Phone (714) 578-8720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.dooley@stjoe.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
JRD Physical Therapy Inc Physical Therapist CurrentSince Nov 7, 2019 Accepting new patients
Feld Care Therapy Inc Physical Therapist CurrentSince Feb 27, 2020 Accepting new patients
Matrix Rehabilitation, Inc. Past Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

Locations

4220 Katella Ave
Los Alamitos, CA 90720
Phone (562) 342-9994

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1164899597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 BESTEL AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-578-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2767 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "92821",
            "country_code": "US",
            "telephone_number": "714-578-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "PETER",
        "name_suffix": "IV",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "43122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.dooley@stjoe.org",
            "affiliation": "N",
            "address_1": "2767 E Imperial Hwy",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.