Individual provider Active NPI

Dorian Pascoe, MSPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1780838854
Registry record updated Nov 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019031 Issued in NY
Practice address
2735 Henry Hudson Pkwy
Bronx, NY 10463-4701
Phone
(646) 734-0008
Fax
(914) 231-5565
NPI assigned
Nov 15, 2008
Last updated
Nov 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019031 NY Primary

Addresses

Primary practice location

2735 Henry Hudson Pkwy
Bronx, NY 10463-4701

Mailing address

51 Saranac St
Dobbs Ferry, NY 10522-1123
Phone (646) 734-0008

Other identifiers 1

IdentifierTypeStateIssuer
30-0510484OtherIRS

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226707200000",
    "number": "1780838854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SARANAC ST",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221123",
            "telephone_number": "646-734-0008",
            "fax_number": "914-231-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HENRY HUDSON PKWY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634701",
            "telephone_number": "646-734-0008",
            "fax_number": "914-231-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCOE",
        "first_name": "DORIAN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-15",
        "last_updated": "2008-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "30-0510484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.