Individual provider Active NPI

Michael L Dosher, PT

  • Physical Therapist
  • Easley, SC
National Provider Identifier
1922092238
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1905 Issued in SC
Practice address
227 S Pendleton St
Ste. B
Easley, SC 29640-3047
Phone
(864) 855-7030
Fax
(864) 855-7019
NPI assigned
Sep 1, 2005
Reactivated
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1905 SC Primary

Addresses

Primary practice location

227 S Pendleton St
Ste. B
Easley, SC 29640-3047

Mailing address

227 S Pendleton St
Ste B
Easley, SC 29640-3047
Phone (864) 855-7030

Other identifiers 2

IdentifierTypeStateIssuer
GP2868MedicaidSC
TH0807MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000058 SC Practitioner - Physical Therapist in Private Practice 8628057536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dosher Physical Therapy Associates IncGroup PAC ID 9931188836, 10 clinicians

Practice addresses (Care Compare)

3150 Hwy 153
Piedmont, SC 29673-9498
Phone (846) 605-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1905SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dosher Physical Therapy Associates Inc Physical Therapist CurrentSince Jan 1, 2000 Accepting new patients

Locations

227 S Pendleton St
Ste B
Easley, SC 29640
Phone (864) 855-7030

3150 Highway 153
Piedmont, SC 29673
Phone (846) 605-0018

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1922092238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST",
            "address_2": "STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST",
            "address_2": "STE. B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-10-27",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2868",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0807",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.