Taylor Tisa Docherty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021309 Issued in PA

Practice address

5600 William Flynn Hwy Ste 342
Gibsonia, PA 15044-9585

Phone

(724) 449-2100

Fax

(724) 449-2113

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Taylor Anne Tisa Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: taylor.docherty@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Network, LLC

  dba UPMC Rehabilitation Institute

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1871551028
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1053608034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WILLIAM FLYNN HWY STE 342",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449585",
            "telephone_number": "724-449-2100",
            "fax_number": "724-449-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 WILLIAM FLYNN HWY STE 342",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449585",
            "telephone_number": "724-449-2100",
            "fax_number": "724-449-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCHERTY",
        "first_name": "TAYLOR",
        "middle_name": "TISA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor.docherty@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "TISA",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Department of Veterans Affairs-VA Medical Center
• Valentina Dicenzo
• Pamela Lynn Didomenico, P.T.
• Mary Catherine Dillon
• Lynelle M Disanti
• Logan Donnadio, COTA/L
• Mark Thomas Dosch, D.O.
• Drayer Physical Therapy Institute LLC
• Melissa Drexler
• Thomas David Dunning, MPT

• Physical Therapist in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.