Active NPI
Misagh Michael Dorost
- Occupational Therapist
- Gaithersburg, MD
National Provider Identifier
1336658939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 08107
- Practice address
- 301 Russell Ave
Gaithersburg, MD 20877-2807 - Phone
- (301) 216-4248
- NPI assigned
- Sep 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 08107 | MD | Primary |
Addresses
Primary practice location
301 Russell Ave
Gaithersburg, MD 20877-2807
Mailing address
21226 Virginia Pine Ter
Germantown, MD 20876-4382
Phone (240) 388-5240
Other practice location 1
21226 Virginia Pine Ter
Germantown, MD 20876-4382
Phone (240) 388-5240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Miami, FL 33179
Phone (786) 770-9480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08107 | MD | MD | Occupational Therapist |
Organizations & group practices 1
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 Therapist
- Miami, FL
- NPI 1164800595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1336658939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21226 VIRGINIA PINE TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764382",
"telephone_number": "240-388-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RUSSELL AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772807",
"telephone_number": "301-216-4248"
}
],
"practiceLocations": [
{
"address_1": "21226 Virginia Pine Ter",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208764382",
"country_code": "US",
"telephone_number": "240-388-5240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOROST",
"first_name": "MISAGH",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-26",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.