Dorian Rose Nissenson, M.S.P.T.

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

014800 Issued in NY

Practice address

7 Black Birch Rd
Westport, CT 06880-2603

Phone

(917) 597-7031

Fax

(203) 293-4173

NPI assigned

Mar 9, 2007

Last updated

Dec 15, 2015By the provider in NPPES

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hands on at Home Physical Therapy, LLC

  • Home Health Agency
  • Westport, CT
  • NPI 1376915389

  Neurology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1255462172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BLACK BIRCH ROAD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "06880",
            "telephone_number": "917-597-7031",
            "fax_number": "203-293-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BLACK BIRCH RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802603",
            "telephone_number": "917-597-7031",
            "fax_number": "203-293-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSENSON",
        "first_name": "DORIAN",
        "middle_name": "ROSE",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "014800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurabeth Nickerson, BCBA
• Nicole Barrato Dba Nutrigreene (NutriGreene)
• Ivette Nieves, LMT
• Sina Nikayin, MD
• Megan Nisenson
• Noa Health and Acupuncture LLC
• Nadia Noori, N.D
• Seth Michael Nordgren, LBA, BCBA
• Marisa Novello, L.C.S.W.
• Ira Jay Novsam, DDS

• Neurology Physical Therapist in Westport, CT
• Providers in Westport, CT by specialty
• Neurology Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.