Daniel James Doherty, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

45 Mallett Dr
Coastal Orthopedics and Sports Medicine
Freeport, ME 04032-1312

Phone

(207) 442-0325

Fax

(207) 443-4578

NPI assigned

Aug 25, 2006

Last updated

Mar 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Orthopedics and Sports Medicine,P.a.Group PAC ID 1355393547, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Orthopedics & Sports Medicine,P.a.

  • Physical Therapist
  • Brunswick, ME
  • NPI 1952485765
  Medicare reassignment Care Compare group NPD
• Coastal Orthopedics & Sports Medicine,P.a.

  dba Coastal Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Brunswick, ME
  • NPI 1912009416
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1215045851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MACMILLAN DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113222",
            "telephone_number": "207-729-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MALLETT DR",
            "address_2": "COASTAL ORTHOPEDICS AND SPORTS MEDICINE",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321312",
            "telephone_number": "207-442-0325",
            "fax_number": "207-443-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT2397",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS State Capital, L.L.C. (CVS Pharmacy # 08245)
• Douglas Edmund Daggett, LMSW
• Dale Erickson
• Kim Decarlo, LCSW
• Kaitlyn-Jade Dingley, CNP
• Cassandra J Dolby
• Reid Dominie
• James B Donahue, D.O.
• Terence Donahue, LCSW
• Carrie Pollard Donoghue, MS, OTR/L

• Physical Therapist in Freeport, ME
• Providers in Freeport, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.

Verify at the official NPI Registry.