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MR. JOHN JOSEPH DOHERTY P.T. A.T.C. NPI 1700079837


NPI Information

NPI: 1700079837
Provider Name: MR. JOHN JOSEPH DOHERTY, P.T., A.T.C.
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
1950 45TH AVE
SUITE 200
MUNSTER, IN
ZIP 46321
Phone: (219) 922-8188
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MR. John Joseph Doherty, P.T., A.T.C. is a sports physical therapist in Munster, IN. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. MR. John Joseph Doherty, P.T., A.T.C. NPI is 1700079837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1950 45TH AVE
SUITE 200
MUNSTER, IN
ZIP 46321-917
Phone: (219) 922-8188
Fax: (219) 922-8502

The enumeration date for this NPI number is 8/22/2007 and was last updated on 8/22/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic Trainer36000225AINDIANANo
22251S0007XPhysical TherapistSports05001844AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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