Active NPI
Nicole Marie Dobrin, PT, DPT, OCS
- Physical Therapist
- Conshohocken, PA
National Provider Identifier
1932226651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018623
- Practice address
- 20 E 11TH Ave
Conshohocken, PA 19428-1555 - Phone
- (610) 828-7595
- Fax
- (610) 828-7505
- NPI assigned
- Mar 26, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018623 | PA | Primary |
| Physical Therapist | 225100000X | 25159 | MD | |
| Physical Therapist | 225100000X | 3971 | HI | |
| Physical Therapist | 225100000X | DAPT001914 | PA |
Addresses
Primary practice location
20 E 11TH Ave
Conshohocken, PA 19428-1555
Mailing address
6024 Ridge Ave # 237
Philadelphia, PA 19128-1601
Phone (215) 262-3193
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5773397 | Other | PA | CIGNA-PPO |
| 2822724000 | Other | PA | IBC |
| 11720725 | Other | PA | CAQH |
| 1950171 | Other | PA | HIGHMARK BLUESHIELD |
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 |
|---|---|---|---|
| 25159 | MD | MD | Pharmacist |
| 3971 | HI | MD | Physical Therapist |
| DAPT001914 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1932226651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6024 RIDGE AVE # 237",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281601",
"telephone_number": "215-262-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E 11TH AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281555",
"telephone_number": "610-828-7595",
"fax_number": "610-828-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRIN",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018623",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25159",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3971",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT001914",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-PPO",
"identifier": "5773397",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2822724000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11720725",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD",
"identifier": "1950171",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
- William Edward Dewart, PH.D., CFC
- Gabriel Jose Diaz Cruz
- Matthew Thomas Digiandomenico, MA, LPC
- Sean Richard Dinan, LSW
- Tara Dingley, MS, CCC-SLP
- Doctor of Eyeballs, LLC
- Barbara Dougherty, CRNP
- Dr Glenn Galbraith Miller, Medicine PC
- Cara Ashley Bendler Drescher, LMT
- Camille Elizabeth Drozdowski, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.