Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelique Renee Dorman, PT

Individual provider Physical Therapist · NPI 1972722262

Angelique Renee Dorman, PT is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 1996, 30 years ago. Practices with Foothills Sports Medicine and Rehabilitation LLC, a 173-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and North Dakota.

Years since qualifying
30
Licensed in
AZ, ND
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

15410 S Mountain Pkwy Ste 112
Phoenix, AZ 85044-6691
Phone: (480) 706-1161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 S Columbia Rd, Grand Forks, ND 58201-4036 — (701) 780-5000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-001877 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 1424 (ND)

Record details

NPI number1972722262
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Foothills Sports Medicine And Rehabilitation Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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