Individual provider Active NPI

Dorota Shire, P.T.

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1386156875
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
206 S. Hays St.
Bel Air, MD 21014
Phone
(410) 900-1900
Fax
(410) 900-1901
NPI assigned
Oct 25, 2017
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

206 S. Hays St.
Bel Air, MD 21014

Mailing address

206 S. Hays St.
Bel Air, MD 21014
Phone (410) 900-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180517000910 MD Practitioner - Physical Therapist in Private Practice 5395000509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Chesapeake Health Rehabilitation Services LLCGroup PAC ID 5294801148, 18 clinicians

Practice addresses (Care Compare)

650 McHenry Rd
Suite 1100
Aberdeen, MD 21001-2607
Phone (443) 843-8702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20369MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Health Rehabilitation Services, LLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients

Locations

650 McHenry Rd
Ste 1100
Aberdeen, MD 21001
Phone (443) 843-6320

615 W Macphail Rd
Ste 210
Bel Air, MD 21014
Phone (443) 409-0051

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1386156875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S. HAYS ST.",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-900-1900",
            "fax_number": "410-900-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S. HAYS ST.",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-900-1900",
            "fax_number": "410-900-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRE",
        "first_name": "DOROTA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.

Verify at the official NPI Registry.