Active NPI
Laura Carol Dornink, P.T.
- Pediatric Physical Therapist
- Cumming, GA
National Provider Identifier
1245569615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT007635
- Practice address
- 2855 Stratfield CT
Cumming, GA 30041-8286 - Phone
- (770) 889-9023
- NPI assigned
- Dec 15, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT007635 | GA | Primary |
Addresses
Primary practice location
2855 Stratfield CT
Cumming, GA 30041-8286
Mailing address
2855 Stratfield CT
Cumming, GA 30041-8286
Phone (770) 889-9023
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 |
|---|---|---|---|
| PT007635 | GA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1245569615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 STRATFIELD CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418286",
"telephone_number": "770-889-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 STRATFIELD CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418286",
"telephone_number": "770-889-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNINK",
"first_name": "LAURA",
"middle_name": "CAROL",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT007635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.