Mary Lynn Dausman, P.T,

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2550 Charles St
Rockford, IL 61108-1673

Phone

(815) 391-7550

Fax

(815) 391-7551

NPI assigned

Jun 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497950471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N LONDON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074432",
            "telephone_number": "815-398-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081673",
            "telephone_number": "815-391-7550",
            "fax_number": "815-391-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUSMAN",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "P.T,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dannenmaier, PSY,D.
• William C Dannenmaier, MD
• David J Dansdill, M.D.
• Danielle Kay Darelius
• Norman C Dasenbrook, M.S., L.C.P.C.
• Mitchell K Davenport, LCPC
• David J Borghi
• Arianne Davidson, MA SLP
• Jennifer Davidson, OT
• Matthew Philip Davidson

• Physical Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapist in Illinois

• 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.