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KEITH DOUGHERTY
NPI 1659243475
Massage Therapist in East Setauket, NY

Active since September 22, 2025
17 TECHNOLOGY DR, EAST SETAUKET, NY 11733(631) 627-1515 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Dougherty NPPES

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

KEITH DOUGHERTY (NPI 1659243475) is an individual massage therapist in East Setauket, New York, licensed in New York (00768) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1659243475
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKEITH DOUGHERTY
Location Address17 TECHNOLOGY DREast Setauket, NY 11733-4000
Mailing Address248 Smithtown Blvd Ste 5Nesconset, NY 11767-2420 · (631) 560-2048
Phone(631) 627-1515
Sole ProprietorNo
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1659243475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 00768
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
17 TECHNOLOGY DR, East Setauket, NY 11733
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Other Providers at the Same Location NPPES 3

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

AR WELLNESS CORP
Massage Therapist
17 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 682-6491
ALYSSA ROSE GENDUSO
Massage Therapist
17 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 682-6491
SPIRITO GATHMAN PHYSICAL THERAPY, PLLC
Clinic/Center (Physical Therapy)
17 TECHNOLOGY DR
EAST SETAUKET, NY 11733
Suffolk County (631) 606-6075

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 Keith Dougherty's NPI number?

The NPI number for Keith Dougherty is 1659243475. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Keith Dougherty located?

Keith Dougherty practices at 17 Technology Dr, East Setauket, NY 11733. The listed phone number is (631) 627-1515.

What is Keith Dougherty's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Keith Dougherty was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.