Individual provider Active NPI

Jordan Dosher, PT

  • Physical Therapist
  • Anderson, SC
National Provider Identifier
1437493590
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8568 Issued in SC
Practice address
1118 Cornelia Rd
Anderson, SC 29621-3317
Phone
(864) 225-8321
Fax
(864) 225-8591
NPI assigned
Nov 15, 2012
Last updated
May 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13815 NC
Physical Therapist 225100000X 8568 SC Primary

Addresses

Primary practice location

1118 Cornelia Rd
Anderson, SC 29621-3317

Mailing address

227 S Pendleton St Ste B
Easley, SC 29640-3047
Phone (864) 855-7030

Other practice location 1

3150 Highway 153
Piedmont, SC 29673-9498
Phone (864) 605-0018

Other practice location 2

227 S Pendleton St Ste B
Easley, SC 29640-3047
Phone (864) 855-7030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116001769 SC Practitioner - Physical Therapist in Private Practice 5597024703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3150 Hwy 153
Piedmont, SC 29673-9498
Phone (846) 605-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8568SCMDPhysical Therapist
13815NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dosher Physical Therapy Associates Inc Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Dosher Physical Therapy Associates Inc Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

1118 Cornelia Rd
Anderson, SC 29621
Phone (864) 225-8321

227 S Pendleton St
Ste B
Easley, SC 29640
Phone (864) 855-7030

3150 Highway 153
Piedmont, SC 29673
Phone (846) 605-0018

Organizations & group practices 2

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1437493590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213317",
            "telephone_number": "864-225-8321",
            "fax_number": "864-225-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Highway 153",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "SC",
            "postal_code": "296739498",
            "country_code": "US",
            "telephone_number": "864-605-0018",
            "fax_number": "864-269-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 S Pendleton St Ste B",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296403047",
            "country_code": "US",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSHER",
        "first_name": "JORDAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13815",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.