Individual provider Active NPI

Alice Shockley Dorothy, M.A.

  • Rehabilitation Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1306750401
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
9645 Arrow Rte Ste a
Rancho Cucamonga, CA 91730-4554
Phone
(909) 948-5747
Fax
(909) 948-5746
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

9645 Arrow Rte Ste a
Rancho Cucamonga, CA 91730-4554

Mailing address

9645 Arrow Rte Ste a
Rancho Cucamonga, CA 91730-4554
Phone (909) 948-5747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1306750401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 ARROW RTE STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304554",
            "telephone_number": "909-948-5747",
            "fax_number": "909-948-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 ARROW RTE STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304554",
            "telephone_number": "909-948-5747",
            "fax_number": "909-948-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROTHY",
        "first_name": "ALICE",
        "middle_name": "SHOCKLEY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.