Active NPI
David Roger Dolbow, PH.D., DPT
- Physical Therapist
- Hermitage, TN
National Provider Identifier
1629029939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7978
- Practice address
- 4209 New Hope Meadow Rd
Hermitage, TN 37076-4710 - Phone
- (615) 225-4612
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | |||
| Physical Therapist | 225100000X | 7978 | TN | Primary |
Addresses
Primary practice location
4209 New Hope Meadow Rd
Hermitage, TN 37076-4710
Mailing address
4209 New Hope Meadow Rd
Hermitage, TN 37076-4710
Phone (615) 225-4612
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7978 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1629029939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 NEW HOPE MEADOW RD",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370764710",
"telephone_number": "615-225-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 NEW HOPE MEADOW RD",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370764710",
"telephone_number": "615-225-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLBOW",
"first_name": "DAVID",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "PH.D., DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.