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

Jac Samuel Dorris

Individual provider Physical Therapy Assistant · NPI 1407535693

Jac Samuel Dorris is a Physical Therapy Assistant in Lewiston, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

5828 Lewiston Rd
Lewiston, NY 14092
Phone: (716) 298-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0 (NY)

Record details

NPI number1407535693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESJuly 14, 2023
Certification dateJuly 10, 2023
Mailing address262 Erin Road, Medina, NY 14103

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