STACI DORR (NPI# 1316250350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316250350 |
| Entity Type | Individual |
| Full Name | STACI DORR |
| Credential | CO |
| Practice Address |
208 Ashville Ave Suite 16 Cary NC 27518-6678 |
| Mailing Address |
Po Box 24905 Winston Salem NC 27114-4905 |
| Practice Telephone | 9198517385 |
| Practice Fax Number | 9198517387 |
| Mailing Telephone | 3363972165 |
| Mailing Fax Number | 3363972167 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABC CERTIFIED ORTHOTIST CERTIFICATION | CO003116 | 01 |
| Street Address |
208 ASHVILLE AVE SUITE 16 |
| City | CARY |
| State | NC |
| Zip Code | 27518-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912975616 | Mark Joel Workman | Chiropractor | 208 Ashville Ave, Suite 30, Cary, NC 27518-6678 | 2006-03-09 |
| 1609005271 | Triangle Ocular, Inc. | Prosthetic/Orthotic Supplier | 208 Ashville Ave, Suite #10, Cary, NC 27518-6678 | 2009-07-04 |
| 1225256076 | Ian A Villanueva | Surgery | 208 Ashville Ave, Suite 14, Cary, NC 27518-6678 | 2007-04-24 |
| 1124241864 | Dr Giles Willis Jr. Dds, Pa | Dentist | 208 Ashville Ave, Suite 40, Cary, NC 27511-6678 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992166698 | Barrie Altman | Orthotist | 208 Ashville Ave Ste 16, Cary, NC 27518-6678 | 2016-03-09 |
| 1881770733 | Gilbert Gulbrandson | Orthotist | 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603442 | Alan Kur | Orthotist | 508 Small Dr, Elizabeth City, NC 27909-9498 | 2020-06-09 |
| 1497386452 | Kaddie Surratt | Orthotist | 400 Meadowmont Village Cir Ste 425, Chapel Hill, NC 27517-7505 | 2020-01-29 |
| 1386288298 | Limbionics of Goldsboro, Inc. | Orthotist | 2103 Wayne Memorial Dr Ste B, Goldsboro, NC 27534-1721 | 2019-11-04 |
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1790346559 | Alexander Hedquist | Orthotist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2019-06-24 |
| 1558856450 | Jason Pantages | Orthotist | 200 Timberhill Pl Unit 203, Chapel Hill, NC 27514-1964 | 2018-06-25 |
| 1326530809 | Zoe Butler | Orthotist | 5007 Southpark Dr Ste 110, Durham, NC 27713-7739 | 2018-05-31 |
| 1407350507 | Performance Footcare | Orthotist | 2024 Randolph Rd, Charlotte, NC 28207-1216 | 2018-03-22 |
| 1437660834 | Christos George Lemonis | Orthotist | 10420 Park Rd Ste 100a, Charlotte, NC 28210-8501 | 2017-10-12 |
| 1871003616 | Andrew Humann | Orthotist | 715 Fairgrove Church Rd Se Ste 203, Conover, NC 28613-9289 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.