Mary Kathleen Therese Dorosh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61273896 Issued in WA

Practice address

6710 N Country Homes Blvd
Spokane, WA 99208-4337

Phone

(509) 487-2958

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Kathleen Therese Koschnitzki Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Center for Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1477718492
  NPD (past)

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1255029708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48070",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992281070",
            "telephone_number": "509-487-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084337",
            "telephone_number": "509-487-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSH",
        "first_name": "MARY KATHLEEN",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61273896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATHLEEN",
            "last_name": "KOSCHNITZKI",
            "middle_name": "THERESE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connie J Dormaier, CRNA
• Gary K Dormaier, RPH
• Olivia Dorn, PHD
• James Paul Dorosh, D.D.S.
• Kyle Dorosh, DMD
• Kasey Marie Dorris, BS
• Sophia Jasmine Dorwaldt, PSYD
• Keyanna Ellynk Dos Santos, LMT
• Jason Christopher Doss, PHARM D
• Dotson Physician Services LLC

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.