Individual provider Active NPI

Mary Dougherty, OTR/L

  • Occupational Therapist
  • Bethlehem, PA
National Provider Identifier
1295954576
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC909-L Issued in PA
Practice address
2901 Emrick Blvd
Lehigh Valley Health Rehabilitation Services,
Bethlehem, PA 18020-8017
Phone
(610) 625-2169
Fax
(610) 625-2278
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC909-L PA Primary

Addresses

Primary practice location

2901 Emrick Blvd
Lehigh Valley Health Rehabilitation Services,
Bethlehem, PA 18020-8017

Mailing address

9 Executive Campus
Paths, LLC
Cherry Hill, NJ 08002-4502
Phone (856) 671-6000

Other names 1

  • Mrs. Mary Powers-Sprau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213003685 NY Practitioner - Occupational Therapist in Private Practice 0143329847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 clinicians

Practice addresses (Care Compare)

500 Commack Rd
Suite 150B 1
Commack, NY 11725-5020
Phone (631) 331-3608

801 Merrick Ave
East Meadow, NY 11554-4748
Phone (516) 393-8900

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC909-LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jul 29, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jul 29, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Sep 19, 2023 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Sep 19, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist Current Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

500 Commack Rd
Ste 150B1
Commack, NY 11725
Phone (631) 331-3608

801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900

576 Broadhollow Rd
Melville, NY 11747

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1295954576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EXECUTIVE CAMPUS",
            "address_2": "PATHS, LLC",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024502",
            "telephone_number": "856-671-6000",
            "fax_number": "856-671-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 EMRICK BLVD",
            "address_2": "LEHIGH VALLEY HEALTH REHABILITATION SERVICES,",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208017",
            "telephone_number": "610-625-2169",
            "fax_number": "610-625-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC909-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "POWERS-SPRAU",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.