Active NPI
Charissa Doerger, PT, LP
- Physical Therapist
- Winter Garden, FL
National Provider Identifier
1548747397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20082
- Practice address
- 405 Tierra Verde LN
Winter Garden, FL 34787-2691 - Phone
- (407) 988-6601
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | PRO132 | FL | |
| Physical Therapist | 225100000X | PT20082 | FL | Primary |
Addresses
Primary practice location
405 Tierra Verde LN
Winter Garden, FL 34787-2691
Mailing address
405 Tierra Verde LN
Winter Garden, FL 34787-2691
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 |
|---|---|---|---|
| PRO132 | FL | MD | Prosthetist |
| PT20082 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vertical Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Winter Garden, FL
- NPI 1457838203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1548747397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 TIERRA VERDE LN",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347872691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 TIERRA VERDE LN",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347872691",
"telephone_number": "407-988-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERGER",
"first_name": "CHARISSA",
"name_prefix": "Ms.",
"credential": "PT, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "FL",
"license": "PRO132",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.