Andrew Dornbrook, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006319 Issued in KY

Practice address

1700 Old Lebanon Road
Campbellsville, KY 42718

Phone

(270) 572-1952

NPI assigned

Dec 12, 2016

Last updated

Dec 12, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthodyne, LLCGroup PAC ID 3971609165, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Orthodyne, LLC

  • Physical Therapist
  • Campbellsville, KY
  • NPI 1033289459
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1851835771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GOLDEN POND LOOP",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427187485",
            "telephone_number": "270-572-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OLD LEBANON ROAD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-572-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBROOK",
        "first_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica N Dishman, LPCC
• Jerome Anthony Dixon, D.O.
• Rachael Dobson
• Molly West Doerr, OD
• Stephanie Donnelly
• Holly Dornbrook, DPT
• Ullanda Dawn Douglas, LPCC
• Dr James R. Rinne M.D., PSC
• Dr. Kevin Richerson, D.C.,PSC
• Dr. William D. Feltner PSC

• Physical Therapist in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.