JAC RANDALL DORAN
NPI 1821323957
Physical Therapist in Ozark, MO

Active since October 07, 2009
1948 E CHESAPEAKE DR, OZARK, MO 65721(417) 551-3210(888) 527-0428 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jac Randall Doran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAC RANDALL DORAN (NPI 1821323957) is an individual physical therapist in Ozark, Missouri, licensed in Missouri (R1148) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1821323957
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJAC RANDALL DORAN
Location Address1948 E CHESAPEAKE DROzark, MO 65721-7815
Mailing Address6104 N 27th StOzark, MO 65721-5857 · (417) 838-1701
Fax(888) 527-0428
Sole ProprietorYes
Enumeration DateOctober 7, 2009
✔ NPI 1821323957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MO · R1148
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1948 E CHESAPEAKE DR, Ozark, MO 65721

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jac Randall Doran is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jac Doran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
304 E JACKSON ST # 2F
Willard, MO 65781
  • Reassigned Medicare billing, Missouri enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation)
1948 E CHESAPEAKE DR
OZARK, MO 65721
Occupational Therapist
1948 E CHESAPEAKE DR
OZARK, MO 65721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jac Doran's NPI number?

The NPI number for Jac Doran is 1821323957. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Jac Doran located?

Jac Doran practices at 1948 E Chesapeake Dr, Ozark, MO 65721. The listed phone number is (417) 551-3210.

What is Jac Doran's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jac Doran enrolled in Medicare?

Yes. Jac Doran is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jac Doran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jac Doran reassigns Medicare benefits to Willard Physical Therapy Center LLC (Willard, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jac Doran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jac Doran was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.