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MR. KEVIN PATRICK DOHERTY PT
NPI 1336180249
Physical Therapist - Orthopedic in Chesterfield, MO

Active since June 10, 2006Accepts Medicare Assignment
92.76/100
CMS Quality Rating
14825 N OUTER FORTY ROAD, SUITE 300, CHESTERFIELD, MO 63005(636) 812-1211(636) 812-0159 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kevin Patrick Doherty Pt NPPES

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

MR. KEVIN PATRICK DOHERTY PT (NPI 1336180249) is an individual orthopedic provider in Chesterfield, Missouri, licensed in Missouri (2006009447) and active in the NPI registry since June 2006. He is a graduate of Other (2006).

NPPES Registry Identity

NPI1336180249
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. KEVIN PATRICK DOHERTYCredential: PT
Location Address14825 N OUTER FORTY ROAD, SUITE 300Chesterfield, MO 63005-0002
Mailing Address13537 Barrett Parkway Drive, Suite 105Ballwin, MO 63021-5866 · (314) 821-9126 · Fax (314) 821-9142
Phone(636) 812-1211
Fax(636) 812-0159
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 10, 2006
Last NPPES UpdateMay 11, 2010
✔ NPI 1336180249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MO · 2006009447
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
14825 N OUTER FORTY ROAD, Chesterfield, MO 63005
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Other Identifiers 2

Medicare PIN150900023MO
Medicare PIN151100022MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Patrick Doherty Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678577913
PECOS Enrollment IDI20060829000365

Medicare Billing Reassignment

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

Athletico Ltd
214 mi
Physical Therapist
229 S STEWART RD STE E-3
Liberty, MO 64068
  • Reassigned Medicare billing, Missouri enrollment
  • 269 clinicians in this Medicare group
NPI 1114449857 (816) 656-3695

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,053 services62 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
610 services52 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
426 services47 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
226 services33 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
101 services13 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
48 services37 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.48
Improvement Activities40

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 Kevin Doherty's NPI number?

The NPI number for Kevin Doherty is 1336180249. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Kevin Doherty located?

Kevin Doherty practices at 14825 N Outer Forty Road Suite 300, Chesterfield, MO 63005. The listed phone number is (636) 812-1211.

What is Kevin Doherty's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kevin Doherty enrolled in Medicare?

Yes. Kevin Doherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Doherty reassigns Medicare benefits to Athletico Ltd (Liberty, 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 Kevin Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Doherty accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin Doherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Doherty was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.