Active NPI
Catherine J Doty, MD
- Physical Medicine & Rehabilitation Physician
- Chesterfield, MO
National Provider Identifier
1174504161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 100753
- Practice address
- 1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740 - Phone
- (314) 205-8858
- Fax
- (314) 205-2113
- NPI assigned
- Nov 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 100753 | MO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 100753 | MO | Primary |
Addresses
Primary practice location
1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740
Mailing address
1585 Woodlake Dr
Suite 214
Chesterfield, MO 63017-5740
Phone (314) 205-8858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100753 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Relief Associates LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Allied Physicians Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Springfield, MO
- NPI 1295937423
-
- Physical Therapy Clinic/Center
- Saint Charles, MO
- NPI 1457521189
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1174504161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 WOODLAKE DR",
"address_2": "SUITE 214",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175740",
"telephone_number": "314-205-8858",
"fax_number": "314-205-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 WOODLAKE DR",
"address_2": "SUITE 214",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175740",
"telephone_number": "314-205-8858",
"fax_number": "314-205-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTY",
"first_name": "CATHERINE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "100753",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "100753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.