BRIAN DOLL (DPT) – Physical Therapist, NPI 1740779214

BRIAN DOLL (DPT) is a healthcare provider. based in Fort wayne, Indiana. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 05013211A (IN). The NPI Number for BRIAN DOLL (DPT) is 1740779214

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN DOLL (DPT)
NPI
1740779214
Phone
(260) 739-0300
Address
12912 Coldwater Rd Ste 9B
Enumeration Date
9 May 2018
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172689040
Graduation Year
2018 (8 years ago)
PAC ID
7911262910
Group Practice PAC ID
9133136864
Professional Enrollment ID
I20180522001384
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for BRIAN DOLL (DPT)

  • 12912 Coldwater Rd Ste 9B

    Fort Wayne, IN 468458870

    Phone: (260) 739-0300

    Fax: (260) 818-2299

    Type: Location

  • 206, Page Avenue, Jackson, Leoni Township, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492012418

    Phone: (517) 783-6670

    Fax: (517) 783-5310

    Type: Mailing

  • Aurelius Road, Holt, Delhi Charter Township, Ingham County, Michigan, 48842, United States

    HOLT, MI 48842

    Phone: (517) 268-9040

    Fax: (517) 268-9042

    Type: Location

  • 3073 SHIRLEY DR

    JACKSON, MI 492017010

    Phone: (517) 990-6210

    Fax: (517) 990-6212

    Type: Mailing

  • 2797 SPRING ARBOR RD STE B

    JACKSON, MI 492033897

    Phone: (517) 962-4437

    Fax: (517) 962-5634

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180522001384IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities69838$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes59541$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30437$0
97140Therapy procedure using manual technique, each 15 minutes12215$0
97164Re-evaluation for physical therapy, typically 20 minutes3320$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133136864View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Where can patients find BRIAN DOLL (DPT)'s NPI?
You can confirm BRIAN DOLL (DPT) with NPI 1740779214; it appears in the national provider directory.
Is BRIAN DOLL (DPT)'s NPI currently valid?
The extract we use shows BRIAN DOLL (DPT) as active.
Does BRIAN DOLL (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for BRIAN DOLL (DPT). Clinical services aligned with this taxonomy classification.
Does BRIAN DOLL (DPT) practice in Indiana?
You will see Fort Wayne, Indiana on file for BRIAN DOLL (DPT) alongside any extra practice locations.
Is BRIAN DOLL (DPT) a real provider?
This page reflects official NPPES data for NPI 1740779214. Always confirm identity and privileges with the practice and licensing boards.

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