Brian Doll, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018663 Issued in MI

Practice address

2797 Spring Arbor Rd Ste B
Jackson, MI 49203-3897

Phone

(517) 962-4437

Fax

(517) 962-5634

NPI assigned

May 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.doll.p4@direct.athleticoltd.nextgenshare.com

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.

• Spring Arbor University Physical Therapy and Athletic Training LLC

  • Physical Therapist
  • Spring Arbor, MI
  • NPI 1649740465
  Medicare reassignment NPD

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1740779214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017010",
            "telephone_number": "517-990-6210",
            "fax_number": "517-990-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 SPRING ARBOR RD STE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033897",
            "telephone_number": "517-962-4437",
            "fax_number": "517-962-5634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12912 Coldwater Rd Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468458870",
            "country_code": "US",
            "telephone_number": "260-739-0300",
            "fax_number": "260-818-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12912 Coldwater Rd Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468458870",
            "country_code": "US",
            "telephone_number": "260-739-0300",
            "fax_number": "260-818-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLL",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05013211A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C80665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scott Christopher Dodge, RPH
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• Jean M Dombrowski, RPH
• Michelle Lynn Dominick-Dreyer, PTA
• James L Donahue, M.D.
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• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.