Laurel Doremus, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19614 Issued in CA

Practice address

46 Trinity Dr
Novato, CA 94947-5245

Phone

(415) 847-2097

Fax

(415) 893-9931

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Presidio Sport & Medicine, Inc.

  • Physical Therapist
  • San Francisco, CA
  • NPI 1578565149
  NPD
• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603
  NPD
• Kirsten E Dumford

  • Physical Therapist
  • Petaluma, CA
  • NPI 1669660833
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407930464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RIDGE RD",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301975",
            "telephone_number": "415-233-0933",
            "fax_number": "415-456-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TRINITY DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949475245",
            "telephone_number": "415-847-2097",
            "fax_number": "415-893-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOREMUS",
        "first_name": "LAUREL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN NUMBER",
            "identifier": "PT19614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Doherty, BCBA
• Jennifer Dole
• Shawn M. Donald, MD
• Myron Lee Donesky, D.D.S.
• Barbara Doran, NP
• Marc Jay Doshay, M.A., MFTI
• Douglas Desalvo Chiropractic, Inc
• Dr Patrice Espinosa DDS PC
• DRS. Gast and Griffin
• Daryl James Dudum, D.D.S.

• Physical Therapist in Novato, CA
• Providers in Novato, CA by specialty
• Physical Therapist in California

• 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.