Justin Brent Dorn, DPT - Medicare Physical Therapist in South Lake Tahoe, CA

Justin Brent Dorn, DPT is a medicare enrolled "Physical Therapist" provider in South Lake Tahoe, California. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Mind Body Physical Therapy Pc, Pt Revolution Physical Therapy Pc and his current practice location is 2038 Lake Tahoe Blvd, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 208-9910.

Justin Brent Dorn is licensed to practice in California (license number PT292376) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245776327.

Contact Information

Justin Brent Dorn, DPT
2038 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6499
(530) 208-9910
(530) 285-2001

Map and Direction




Healthcare Provider's Profile

Full NameJustin Brent Dorn
GenderMale
SpecialityPhysical Therapy
Experience8 Years
Location2038 Lake Tahoe Blvd, South Lake Tahoe, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Brent Dorn graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1245776327
  • Provider Enumeration Date: 01/12/2017
  • Last Update Date: 01/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537443072
  • Enrollment ID: I20170301002477

Medical Identifiers

Medical identifiers for Justin Brent Dorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245776327NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT292376 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mind Body Physical Therapy Pc32748141085
Pt Revolution Physical Therapy Pc50921749875

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin Brent Dorn allows following entities to bill medicare on his behalf.
Provider NameMind Body Physical Therapy Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184170995
PECOS PAC ID: 3274814108
Enrollment ID: O20170106001373
Provider NamePt Revolution Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1467179663
PECOS PAC ID: 5092174987
Enrollment ID: O20230711000737

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Brent Dorn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin Brent Dorn, DPT
2038 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6499

Ph: (530) 208-9910
Justin Brent Dorn, DPT
2038 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6499

Ph: (530) 208-9910

Reviews and Comments


Physical Therapist in South Lake Tahoe, CA

Michelle Appelle, MSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5896    Fax: 530-544-6512
Michael Neiger, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5896    Fax: 530-544-6512
Rene Hoogendijk, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-542-3000    Fax: 530-544-6512
Nancy Bru, DPT, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5896    Fax: 530-544-6512
Joseph H Dengler, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5896    Fax: 530-544-6512
Michael John Lyons, MPT, ATC
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5896    Fax: 530-544-6512
Christine Ann Kozlowski, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5896    Fax: 530-544-6512

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.