Dorland Physical Therapy II

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5219 Issued in AZ

Legal business name

DORLAND PHYSICAL THERAPY II

Practice address

13203 N 103Rd Ave
Sun City, AZ 85351-3028

Phone

(866) 933-4248

Fax

(623) 933-7049

NPI assigned

Aug 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David C. Dorland, MS,PT

Title

Co-Owner

Phone

(866) 933-4248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316053366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "877-552-2996",
            "fax_number": "262-898-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513028",
            "telephone_number": "866-933-4248",
            "fax_number": "623-933-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORLAND PHYSICAL THERAPY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "866-933-4248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Sun City, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.