Jennifer Doran, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2011021989 Issued in MO

Practice address

2811 Springridge Dr
Saint Louis, MO 63129-3520

Phone

(314) 221-2995

NPI assigned

Jun 12, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1245808740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 SPRINGRIDGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293520",
            "telephone_number": "314-221-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 SPRINGRIDGE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293520",
            "telephone_number": "314-221-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2011021989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Donze
• Jenna Donze
• Jordan Donze
• Kathleen Dooling, LPC
• Deanna Leigh Dopplick, M.A.
• Hannah Dorando, MD, PHD
• Miguel Ignacio Dorante, MD, MBE
• Dorchester Paradigm Partners
• Makayla Marie Dordan, AU.D., CCC-A
• Theresa Ann Dore, MOTR/L

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.