Individual provider Active NPI

Charissa Doerger, PT, LP

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1548747397
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20082 Issued in FL
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

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PRO132FLMDProsthetist
PT20082FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.