Courtney Dougherty, OTR/L, OTD
Individual provider Active NPI Occupational Therapist · Centreville, VA
NPI 1235925645 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1235925645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 6201 Centreville Rd Ste 600
Centreville, VA 20121-2634 - Phone
- (571) 261-6177
- NPI assigned
- Apr 15, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Town Center Orthopaedic Associates P C
Practice addresses (Care Compare)
1860 Town Ctr Dr
Suite 300
Reston, VA 20190-5900
Phone (703) 435-6604
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250428000954 | DC | Practitioner - Occupational Therapist in Private Practice | 1557887155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town Center Orthopaedic Associates, P.C. | Occupational Therapist | Current |
Accepting new patients |
| Town Center Orthopaedic Associates PC | Current |
Accepting new patients |
Locations
6201 Centreville Rd
Ste 600
Centreville, VA 20121
Phone (571) 346-2411
1860 Town Center Dr
Ste 300
Reston, VA 20190
Phone (703) 483-4684
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
6201 Centreville Rd Ste 600
Centreville, VA 20121-2634
Mailing address
2611 Malaita CT
Cape Coral, FL 33991-3272
Other providers in Centreville, VA
- Divine Touch Home Health
- DMV Counseling Consulting & Coaching
- Brittany Danielle Dodson
- Melba N/a Dogbe-Folly
- Cathy Dooley
- Adrienne M Douglass
- Dr. Eleni Solos-Kountouris, PC
- Dream Mobile Sedation PLLC
- DRS. Ruparelia & Muhammad - Cascades Centreville, PLLC
- Dulles Dental Group LLC
All providers in Centreville, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.