Karen Louise Doherty, OTR

Key facts

NPI

1104942952

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

6991 (MA)

Practice address

4 Nestlebrook LN
Medway, MA 02053-2436

Phone

(508) 496-6142

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104942952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NESTLEBROOK LN",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020532436",
            "telephone_number": "508-496-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NESTLEBROOK LN",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020532436",
            "telephone_number": "508-496-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James A Doolittle, RPH
• Melanie A Duarte, LMHC
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• Kylee C. Eagles, D.O.
• Courtney Easler, LMHC

All providers in Medway, MA · Occupational Therapist in Massachusetts