Active NPI
Dustin Doren, DPT
- Physical Therapist
- Davison, MI
National Provider Identifier
1740684232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016869
- Practice address
- 1410 Pondview Dr
Davison, MI 48423 - Phone
- (517) 292-9848
- NPI assigned
- Oct 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016869 | MI | Primary |
Addresses
Primary practice location
1410 Pondview Dr
Davison, MI 48423
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
10860 Highland Rd
Hartland, MI 48353-2629
Phone (810) 632-1000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016869 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
| Tempo Physiotherapay LLC | Current | Accepting new patients |
Locations
1235 S Center Rd
Burton, MI 48509
Phone (800) 977-4378
1032 S Linden Rd
Flint, MI 48532
Phone (810) 733-3833
1032 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-3833
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Grand Blanc, MI
- NPI 1144012816
-
- Physical Therapist
- Plainfield, IL
- NPI 1689648602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1740684232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 PONDVIEW DR",
"city": "DAVISON",
"state": "MI",
"postal_code": "48423",
"telephone_number": "517-292-9848"
}
],
"practiceLocations": [
{
"address_1": "10860 Highland Rd",
"address_purpose": "LOCATION",
"city": "Hartland",
"state": "MI",
"postal_code": "483532629",
"country_code": "US",
"telephone_number": "810-632-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOREN",
"first_name": "DUSTIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-14",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.