Jessica Dougherty, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT21304750 Issued in IN

Practice address

304 Wainwright Dr
New Albany, IN 47150-3830

Phone

(502) 533-7906

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1144651001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503830",
            "telephone_number": "502-533-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503830",
            "telephone_number": "502-533-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "JESSICA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21304750",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "KY-4832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhatavia Dodge, RBT
• Anna Domiray, LCSW
• Andrew Joseph Dones, PHARMD
• Kamini Doshi, PT
• Carol Anne Dougherty, MS PSYS LMFT
• Jennifer Ann Douglas, OT
• Patrick J Downard, M.D.
• Steven Daniel Doyen, PHARMD
• Dr Bryan Guess LLC
• Dr James R Nolan Dr Ronald R Nolan Inc

• Massage Therapist in New Albany, IN
• Providers in New Albany, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.