Susan V Doherty, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1274449 Issued in TX

Practice address

3651 Weslayan St Ste 110
Houston, TX 77027-6638

Phone

(713) 850-8472

NPI assigned

Jan 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Memorial Hermann Health System

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1366229619
  NPD (past)

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1255084471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 CHISEL RDG",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843967",
            "telephone_number": "281-685-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WESLAYAN ST STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276638",
            "telephone_number": "713-850-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "SUSAN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1274449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greenway",
            "affiliation": "N",
            "endpointDescription": "Memorial Hermann",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TMC",
            "address_1": "3651 Weslayan St Ste 110",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770276638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Osarumen Nicole Doghor, MD
• Hae Jung Doh, D.D.S.
• Deanna Doheny, ATC, NREMT
• Erin Eileen Doherty, M.D.
• Kathryn K Doherty, LCSW
• Virginia Hill Doherty, MPAS, PA-C
• Chloe Dohler
• Corine Doho-Takor, CPNP
• Tejaswini Doifode
• Hisham Dokainish, MD

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.