Active NPI
Janice Gail Doren, PT
- Physical Therapist
- Roxbury Crossing, MA
National Provider Identifier
1477697654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2613
- Practice address
- 125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847 - Phone
- (617) 754-5500
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2613 | MA | Primary |
Addresses
Primary practice location
125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847
Mailing address
295 Main St
Unit 14
Reading, MA 01867-3644
Phone (781) 944-2719
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477697654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 MAIN ST",
"address_2": "UNIT 14",
"city": "READING",
"state": "MA",
"postal_code": "018673644",
"telephone_number": "781-944-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARKER HILL AVE",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202847",
"telephone_number": "617-754-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOREN",
"first_name": "JANICE",
"middle_name": "GAIL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "2613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury Crossing, MA
Sources for this page
- 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.