Active NPI
Alyson M Dondorfer, PT
- Physical Therapist
- Mentor, OH
National Provider Identifier
1295752871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 008741
- Practice address
- 8836 Tyler Blvd
Mentor, OH 44060-4361 - Phone
- (440) 255-9553
- Fax
- (440) 255-9563
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 008741 | OH | Primary |
Addresses
Primary practice location
8836 Tyler Blvd
Mentor, OH 44060-4361
Mailing address
8836 Tyler Blvd
Mentor, OH 44060-4361
Phone (440) 255-9553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2600260 | Medicaid | OH | |
| 9350121 | Other | OH | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7545 Fredle Dr
Concord Township, OH 44077-9406
Phone (440) 357-1717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 008741 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Orthopedic and Spinal Therapy | Current | Accepting new patients | |
| Highland Wellness Center Inc. | Current | Accepting new patients | |
| Universal Therapy Dynamics, Inc | Past | Accepting new patients |
Locations
7545 Fredle Dr
Concord Township, OH 44077
Phone (440) 357-1717
5606 Wilson Mills Rd
Highland Heights, OH 44143
Phone (440) 449-1866
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Concord Township, OH
- NPI 1437812484
-
- Chiropractor
- Cleveland, OH
- NPI 1346370749
-
- Physical Therapy Clinic/Center
- Willoughby, OH
- NPI 1740288919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1295752871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8836 TYLER BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604361",
"telephone_number": "440-255-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8836 TYLER BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604361",
"telephone_number": "440-255-9553",
"fax_number": "440-255-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONDORFER",
"first_name": "ALYSON",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 008741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2600260",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "9350121",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.