Active NPI
Marcus Daniel Dobbins, DPT
- Physical Therapist
- Indian Harbour Beach, FL
National Provider Identifier
1457686289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-25038
- Practice address
- 2030 S Patrick Dr
Ste 3
Indian Harbour Beach, FL 32937-4400 - Phone
- (321) 773-8155
- Fax
- (321) 773-8154
- NPI assigned
- Oct 13, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-25038 | FL | Primary |
Addresses
Primary practice location
2030 S Patrick Dr
Ste 3
Indian Harbour Beach, FL 32937-4400
Mailing address
2030 S Patrick Dr
Ste 3
Indian Harbour Beach, FL 32937-4400
Phone (321) 773-5290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-25038 | Other | FL | STATE OF FL PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-25038 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1457686289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 S PATRICK DR",
"address_2": "STE 3",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374400",
"telephone_number": "321-773-5290",
"fax_number": "321-773-5268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 S PATRICK DR",
"address_2": "STE 3",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374400",
"telephone_number": "321-773-8155",
"fax_number": "321-773-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBINS",
"first_name": "MARCUS",
"middle_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT-25038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FL PT LICENSE",
"identifier": "PT-25038",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indian Harbour Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.