Marisue Diane Doren, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28655 Issued in MD

Practice address

105 W Chesapeake Ave
Towson, MD 21204-4725

Phone

(443) 809-3660

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1255629341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043780",
            "telephone_number": "443-809-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CHESAPEAKE AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044725",
            "telephone_number": "443-809-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOREN",
        "first_name": "MARISUE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013709-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Elizabeth Donnelly, CCC-SLP
• Rebecca R Donnelly, LIC.AC.
• Denise Pauline Donovan, P.A.
• Jennifer Kline Donovan, MPT
• Livingstone Sidney Dore Jr., M.D.
• Cecily Renee Santos Dorros, MD
• Thomas Andrew Dorsett, MD
• Brian Dougherty, L.AC.
• Laura B. Dover, D.C.
• Donna L Dow, M.D.

• Physical Therapist in Towson, MD
• Providers in Towson, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.