Active NPI
Dorie Lynn Kirchoff, P.T.A.
- Physical Therapy Assistant
- Pompano Beach, FL
National Provider Identifier
1790801546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA19150
- Practice address
- 341 SE 1St Ave Apt 1
Pompano Beach, FL 33060-7101 - Phone
- (954) 783-8157
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA19150 | FL | Primary |
Addresses
Primary practice location
341 SE 1St Ave Apt 1
Pompano Beach, FL 33060-7101
Mailing address
341 SE 1St Ave Apt 1
Pompano Beach, FL 33060-7101
Phone (954) 783-8157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA 19150 | Other | FL | STATE LICENSE |
Other names 1
- Doretta Lynn Kirchoff
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA19150 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790801546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 SE 1ST AVE APT 1",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607101",
"telephone_number": "954-783-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 SE 1ST AVE APT 1",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607101",
"telephone_number": "954-783-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHOFF",
"first_name": "DORIE",
"middle_name": "LYNN",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA19150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PTA 19150",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DORETTA",
"last_name": "KIRCHOFF",
"middle_name": "LYNN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.