Jacob Dorshorst, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15821-24 Issued in WI

Practice address

1430 Main St
Onalaska, WI 54650-2835

Phone

(608) 351-3049

NPI assigned

Jul 22, 2022

Sex

Male

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

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic PT LLCGroup PAC ID 3779948302, 9 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 and National Provider Directory roles.

• Dynamic PT LLC

  • Physical Therapist
  • Onalaska, WI
  • NPI 1245948389
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1639804685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835",
            "telephone_number": "608-351-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSHORST",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15821-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J. Dixon, PHD
• Nicole Michelle Dockendorff, DPT
• Susan Doehlert
• Kylie Dohlby
• Micca Donohue, M.D.
• Amber Downing
• Danialle Draeger, PT
• Mary E. Duh, PA-C
• Adam Dunham, D.C.
• Kaley Dupree, LMT

• Physical Therapist in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.