MICHAEL JOHN DOHERTY ATC, LAT, DPT
NPI 1730616574
Specialist/Technologist - Athletic Trainer in Munster, IN

Q: What is Michael Doherty's NPI number?

The NPI number for Michael Doherty is 1730616574. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Michael Doherty's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Michael Doherty was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 11, 2017Accepts Medicare Assignment

10133 DEVONSHIRE LN, MUNSTER, IN 46321(219) 381-1861 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Michael John Doherty Atc, Lat, Dpt NPPES

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

MICHAEL JOHN DOHERTY ATC, LAT, DPT (NPI 1730616574) is an individual athletic trainer provider in Munster, Indiana, licensed in Indiana (36002268A) and active in the NPI registry since May 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1730616574

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMICHAEL JOHN DOHERTYCredential: ATC, LAT, DPT

Location Address10133 DEVONSHIRE LNMunster, IN 46321-4376

Mailing Address10133 Devonshire LnMunster, IN 46321-4376

Phone(219) 381-1861

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 11, 2017

✔ NPI 1730616574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in IN · 36002268A

Definition

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.

10133 DEVONSHIRE LN, Munster, IN 46321

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael John Doherty Atc, Lat, Dpt 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 ID9638443559

PECOS Enrollment IDI20240124002050

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 Michael Doherty's NPI number?

The NPI number for Michael Doherty is 1730616574. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Michael Doherty located?

Michael Doherty practices at 10133 Devonshire Ln, Munster, IN 46321. The listed phone number is (219) 381-1861.

What is Michael Doherty's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Michael Doherty enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Doherty accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Michael 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 Michael Doherty was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.