Michael Ryan Dormo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298536 Issued in CA

Practice address

3939 Ruffin Rd Ste 103
San Diego, CA 92123-1804

Phone

(858) 380-4185

Fax

(858) 609-6651

NPI assigned

Aug 24, 2015

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1700516408
  Medicare reassignment Care Compare group NPD
• Ohrh, LLC

  • Physical Therapy Clinic/Center
  • Grove City, OH
  • NPI 1770060212
  Medicare reassignment NPD
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Poway, CA
  • NPI 1801526512
  NPD
• Select San Diego Physical Therapy, PC.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1992435606

  Physical Therapist

  NPD
• Ohrh, LLC

  • Physical Therapy Clinic/Center
  • Columbus, OH
  • NPI 1144707688
  NPD
• Ohrh, LLC

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Chillicothe, OH
  • NPI 1265140917

  Physical Therapist

  NPD
• Start Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Chelmsford, MA
  • NPI 1972102002
  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1538536859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 RUFFIN RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231804",
            "telephone_number": "858-380-4185",
            "fax_number": "858-609-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 RUFFIN RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231804",
            "telephone_number": "858-380-4185",
            "fax_number": "858-609-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Bedford St",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "MA",
            "postal_code": "023243180",
            "country_code": "US",
            "telephone_number": "508-279-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1099 D St Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012839",
            "country_code": "US",
            "telephone_number": "415-532-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORMO",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21978",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Doria
• Alexandra Dorman
• Annabelle Dorman
• Laura Swan Dorman, PH.D.
• Patrick L Dorman, D.C.
• Cathy L. Dorn, COTA/L
• Ruth Eileen Dorn
• Tia J Dorn, M.D.
• Rebecca Ashley Dorner, MD, MHS
• Lynn Helen Dornfeld, MSN/RNP/CNM

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.