Active NPI
Lauren Clark Dobson, DPT
- Physical Therapist
- Canton, GA
National Provider Identifier
1851670095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010390
- Practice address
- 553 Riverstone Pkwy
Suite 100
Canton, GA 30114-5222 - Phone
- (770) 345-3057
- Fax
- (770) 345-3154
- NPI assigned
- Aug 5, 2011
- Last updated
- Nov 5, 2013
- 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 Therapist | 225100000X | PT010390 | GA | Primary |
Addresses
Primary practice location
553 Riverstone Pkwy
Suite 100
Canton, GA 30114-5222
Mailing address
PO Box 75
Bonlee, NC 27213-0075
Phone (706) 621-8908
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010390 | GA | MD | General Practice Dentistry |
| PT010390 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1851670095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75",
"city": "BONLEE",
"state": "NC",
"postal_code": "272130075",
"telephone_number": "706-621-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 RIVERSTONE PKWY",
"address_2": "SUITE 100",
"city": "CANTON",
"state": "GA",
"postal_code": "301145222",
"telephone_number": "770-345-3057",
"fax_number": "770-345-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK DOBSON",
"first_name": "LAUREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.