Kyle J. Dorosh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010210 Issued in CT

Practice address

506 Cromwell Ave Ste 103
Rocky Hill, CT 06067-1851

Phone

(860) 721-9801

Fax

(860) 721-8475

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pawcatuck, CT
  • NPI 1033773759

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ptsma Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Manchester, CT
  • NPI 1619393337
  NPD
• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ansonia, CT
  • NPI 1285263129
  NPD

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1821498932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CROMWELL AVE STE 103",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671851",
            "telephone_number": "860-721-9801",
            "fax_number": "860-721-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CROMWELL AVE STE 103",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671851",
            "telephone_number": "860-721-9801",
            "fax_number": "860-721-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSH",
        "first_name": "KYLE",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010210",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CT",
            "license": "010210",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CT",
            "license": "010210",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CT",
            "license": "010210",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CT",
            "license": "010210",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "010210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE INC.",
            "identifier": "015353",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "119457",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0036401",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH CARE",
            "identifier": "ANC1648",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Rae Dickison, LCSW
• Kyle Diroberto, PT, DPT, CSCS
• Divine Healing LLC
• Natalie Dixon-Allicock
• Malwina Dorazio, LMFT
• Kaitlyn Doucette, LPC
• Robert Doyle
• Dr. Dental of Rocky Hill
• Flora Elaine Drapeau, NP
• Maureen Barrett Duffy

• Physical Therapist in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.