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

Physical Therapist (Sports) in Munster, IN

NPI 1700079837 Individual Male Physical Therapist Sports

About JOHN DOHERTY

John Doherty is a provider established in Munster, Indiana and his medical specialization is physical therapist (sports) . The NPI number of John Doherty is 1700079837 and was assigned on August 2007. The practitioner's primary taxonomy code is 2251S0007X with license number 05001844A (IN). The provider is registered as an individual and his NPI record was last updated 14 years ago.

John Doherty is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1700079837

Provider NameMR. JOHN JOSEPH DOHERTY P.T., A.T.C.
Provider Location Address1950 45TH AVE SUITE 200 MUNSTER, IN 46321
Provider Mailing Address1950 45TH AVE SUITE 200 MUNSTER, IN 46321
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-22-2007
Last Update Date08-22-2007


Primary Taxonomy

Taxonomy Code2251S0007X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
SpecializationSports
License No.05001844A
License StateIN
Taxonomy DescriptionA 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.

Business Address

MR. JOHN JOSEPH DOHERTY P.T., A.T.C.
1950 45TH AVE
SUITE 200
MUNSTER, IN
ZIP 46321
Phone: (219) 922-8188
Fax: (219) 922-8502

Get Directions


Mailing Address

MR. JOHN JOSEPH DOHERTY P.T., A.T.C.
1950 45TH AVE
SUITE 200
MUNSTER, IN
ZIP 46321
Phone: (219) 922-8188
Fax: (219) 922-8502



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer36000225AINNo

Taxonomy Description: athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073564605CENTER FOR SPECIALTY SURGERY
Organization
Clinic/Center (Ambulatory Surgical)1950 45TH AVE
MUNSTER, IN 46321
(219) 922-5100
1184710428D L FORTSON M D P C
Organization
Family Medicine1950 45TH AVE SUITE 100
MUNSTER, IN 46321
(219) 924-9277
1982770160 CHARLES LEO TREMAINE MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 924-6544
1881743920LORIN M. BROWN, M.D. P.C.
Organization
Specialist1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 924-6544
1104195593MISS RACHEAL MARIE SMITH ATC, LAT
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE
MUNSTER, IN 46321
(219) 924-7316
1720357049 DANIELLE PILLON ATC
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 922-8188
1396015996 CHRIS DOUGLAS HALL ATC, MED
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE
MUNSTER, IN 46321
(219) 922-8188
1366635393 LIU ANN SCHOEN PT
Individual
Physical Therapist1950 45TH AVE
MUNSTER, IN 46321
(219) 922-8188
1003009044MR. PATRICK MICHAEL OHAVER ATC
Individual
Specialist/Technologist (Athletic Trainer)1950 45TH AVE SUITE 200
MUNSTER, IN 46321
(219) 922-8188

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.