Organization Active NPI

Dorner Physical Therapy

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1316927361
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 10694 Issued in CA
Legal business name
DORNER PHYSICAL THERAPY
Practice address
4200 Trabuco Rd
Suite 150
Irvine, CA 92620-3600
Phone
(949) 651-9199
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Pamela Dorner, P.T.
Title
Owner
Phone
(949) 651-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 10694 CA Primary

Addresses

Primary practice location

4200 Trabuco Rd
Suite 150
Irvine, CA 92620-3600

Mailing address

4200 Trabuco Rd
Suite 150
Irvine, CA 92620-3600
Phone (949) 651-9199

National Provider Directory

National Provider Directory

Locations

4200 Trabuco Rd
Ste 150
Irvine, CA 92620
Phone (949) 651-8199

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1316927361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD",
            "address_2": "SUITE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203600",
            "telephone_number": "949-651-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD",
            "address_2": "SUITE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203600",
            "telephone_number": "949-651-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORNER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "DORNER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-651-9199",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 10694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.