Active NPI
Mary O'Doherty Sadler, DPT
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18192
- Practice address
- 111 Hanestown CT Ste 151
Winston Salem, NC 27103-1749 - Phone
- (336) 765-9350
- Fax
- (336) 760-4255
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18192 | NC | Primary |
Addresses
Primary practice location
111 Hanestown CT Ste 151
Winston Salem, NC 27103-1749
Mailing address
111 Hanestown CT Ste 151
Winston Salem, NC 27103-1749
Phone (336) 765-9350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W056698870 | Other | NC | AETNA |
Other names 1
- Dr. Mary Catherine O'Doherty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1501 W Yamato Rd
Suite 200
Boca Raton, FL 33431-4438
PO Box
Belfast, ME 04915
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18192 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of the Carolinas, PLLC | Current | Accepting new patients |
Locations
445 Pineview Dr
Ste 110
Kernersville, NC 27284
Phone (336) 993-4532
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
111 Hanestown Ct
#151
Winston Salem, NC 27103
Phone (919) 334-0150
Interoperability endpoints
- mary.sadler.1@7773.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Morrisville, NC
- NPI 1639506470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1053890590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HANESTOWN CT STE 151",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031749",
"telephone_number": "336-765-9350",
"fax_number": "336-760-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HANESTOWN CT STE 151",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031749",
"telephone_number": "336-765-9350",
"fax_number": "336-760-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLER",
"first_name": "MARY",
"middle_name": "O'DOHERTY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "18192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "W056698870",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "O'DOHERTY",
"middle_name": "CATHERINE",
"prefix": "DR.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.