Stephen Dolan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4AQA00661600 Issued in NJ

Practice address

990 Cedarbridge Ave
Suite B-16
Brick, NJ 08723-4159

Phone

(732) 262-0111

Fax

(732) 262-0332

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advantage Physical Therapy, PA

  • Physical Therapist
  • Brick, NJ
  • NPI 1033156013
  Authorized official Same address or phone

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396804803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CEDARBRIDGE AVE",
            "address_2": "SUITE B-16",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234159",
            "telephone_number": "732-262-0111",
            "fax_number": "732-262-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 CEDARBRIDGE AVE",
            "address_2": "SUITE B-16",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234159",
            "telephone_number": "732-262-0111",
            "fax_number": "732-262-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "STEPHEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "4AQA00661600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Dobrzynski, MD
• Doctors Office of Brick
• Michelle Dodge, LCSW
• Sherry Dohn, OTR/L
• Anastasia Lynn Dolan, OTD, OTR/L
• Heather Donahue, NBC-HWC
• Kathryn Donohue
• Kelly Donovan
• Cindy P Dornacker, L.C.S.W.
• Kristen Dornacker, PT, DPT

• Physical Therapist in Brick, NJ
• Providers in Brick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.