Cheryl R Dodge, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10645 Issued in FL

Practice address

702 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4752

Phone

(772) 225-8908

Fax

(772) 225-0843

NPI assigned

Nov 10, 2006

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gina's Physical Therapy, Inc

  • Physical Therapist
  • Stuart, FL
  • NPI 1023298437
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1659442929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 SW MOCKINGBIRD LN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902418",
            "telephone_number": "772-220-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574752",
            "telephone_number": "772-225-8908",
            "fax_number": "772-225-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "CHERYL",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Macchia, LLC
• Jennifer Dibernardo
• Frank Eric Dickens, MD
• Megan A Dillon, SLP
• Diverse Family Solution ABA Therapy
• Denise Dolan
• Joseph Donegan
• Robert A. Dudley, CRNA
• Daniel Michael Durante, OD,PA
• Sarah Easterday, RN

• Physical Therapist in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.