Jill Alexandra Dorler, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1169897 Issued in TX

Practice address

1200 Lakeway Dr
Ste 13
Lakeway, TX 78734-4457

Phone

(310) 617-8788

Fax

(512) 261-2237

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jille a. Dorler

  • Physical Therapist
  • Redondo Beach, CA
  • NPI 1588612295
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1841258555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 RR 620 S",
            "address_2": "STE 160-231",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346219",
            "telephone_number": "512-994-6227",
            "fax_number": "512-367-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKEWAY DR",
            "address_2": "STE 13",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344457",
            "telephone_number": "310-617-8788",
            "fax_number": "512-261-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLER",
        "first_name": "JILL",
        "middle_name": "ALEXANDRA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16500",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1169897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Anthony De Leon Diaz, PT
• Mayra Jasmine Diaz
• Koki Dinardi
• Leslie Robin Doctor, LCSW
• Yelena Dokic, MD
• Nathan Drummond, MD
• Michelle Jeanne Dumbacher, OTR/L
• Emily Brown Dunlap, PT
• Brent Douglas Dupper, D.D.S.
• Ana M Duque, SLP

• Orthopedic Physical Therapist in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.