Kathryn L Doty, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017538 Issued in IL

Practice address

15 Bronze Pointe N
Ste. B
Swansea, IL 62226-1197

Phone

(618) 235-6814

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn L. Doty Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bel Oak of Hudson House LLC

  • Physical Therapist
  • Mascoutah, IL
  • NPI 1770395162
  Medicare reassignment NPD

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1124340658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRONZE POINTE N",
            "address_2": "STE. B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRONZE POINTE N",
            "address_2": "STE. B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261197",
            "telephone_number": "618-235-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DOTY",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Spencer Diskin, PHARMD
• Distinctive Dermatologyltd
• Jennifer Donaldson, PHARMD
• Amy Donathan, LMFT
• Shanta Doss
• Julie C Droney
• Troy J Dukowitz, D.C.
• Ear, Nose & Throat Institute of Southern Illinois LTD.
• Lindsey Ebers
• Lauren Eck, FNP

• Physical Therapist in Swansea, IL
• Providers in Swansea, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.