Maryellen Dougherty in Media - Physical Therapist
Maryellen Dougherty - NPI 1518057900
Maryellen Dougherty is a Physical Therapist in Media, Pennsylvania. Maryellen Dougherty practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Maryellen Dougherty is 1518057900. The last update date is 2011-04-05.
Maryellen Dougherty's current location address is 203 E Baltimore Pike, Media, Pennsylvania. You can contact this provider via phone number 6105650670 and fax number 6105657706. The mailing address for Maryellen Dougherty is 203 E Baltimore Pike, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryellen Dougherty |
|---|---|
| Address | 203 E Baltimore Pike, Media, Pennsylvania |
| Phone Number | 6105650670 |
| Fax Number | 6105657706 |
| Sole Proprietor | N |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1518057900 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2011-04-05 |
Provider Mailing Address Detail
| Address | 203 E Baltimore Pike |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190633433 |
| Phone Number | 6105650670 |
| Fax Number | 6105657706 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT018385 |
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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 per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1928216 | PA | BC/BS PIN | |
| 2799524000 | PA | KEYSTONE PIN | |
| P00430771 | PA | MEDICARE RAILROAD PIN | |
| 2799524000 | PA | PERSONAL CHOICE PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Maryellen Dougherty by the Centers for Medicare & Medicaid Services?
The Maryellen Dougherty has been issued the NPI (National Provider Identifier) 1518057900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Maryellen Dougherty?
The Maryellen Dougherty is situated at 203 E Baltimore Pike, in the city of Media, state of PA, with the zip code 190633433.
What is the area of specialization for Maryellen Dougherty, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maryellen Dougherty is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518057900 to Maryellen Dougherty?
The Centers for Medicare & Medicaid Services assigned the 1518057900 to Maryellen Dougherty on 2006-10-13.
When was the information related to Maryellen Dougherty most recently updated or refreshed?
The details pertaining to the Maryellen Dougherty, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-04-05.
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