Organization Active NPI

Amy Dore DPT Physical Therapy

  • Physical Therapist
  • Pacific Grove, CA
National Provider Identifier
1679742589
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AMY DORE DPT PHYSICAL THERAPY
Practice address
1199 Forest Ave
Suite 2
Pacific Grove, CA 93950-5100
Phone
(831) 643-9643
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Don Tanner
Title
Dir of Reimbursment
Phone
(248) 366-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1199 Forest Ave
Suite 2
Pacific Grove, CA 93950-5100

Mailing address

1199 Forest Ave
Suite 2
Pacific Grove, CA 93950-5100
Phone (831) 643-9643

National Provider Directory

National Provider Directory

Locations

1199 Forest Ave
Ste 2
Pacific Grove, CA 93950
Phone (831) 643-9643

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1679742589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 FOREST AVE",
            "address_2": "SUITE 2",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505100",
            "telephone_number": "831-643-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 FOREST AVE",
            "address_2": "SUITE 2",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505100",
            "telephone_number": "831-643-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY DORE DPT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "DIR OF REIMBURSMENT",
        "authorized_official_telephone_number": "248-366-0403"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.