Henry Daniel Dougherty, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1313 Issued in NH

Practice address

15 Town West Rd
Plymouth, NH 03264-3428

Phone

(603) 536-2941

Fax

(603) 536-2949

NPI assigned

Aug 26, 2010

Last updated

Aug 26, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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

• Johnelms LLC

  dba Choice Physical Therapy of Plymouth

  • Physical Therapist
  • Bristol, NH
  • NPI 1558306936
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1306152426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LAKE ST",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "032224548",
            "telephone_number": "603-744-0275",
            "fax_number": "603-744-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWN WEST RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643428",
            "telephone_number": "603-536-2941",
            "fax_number": "603-536-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "HENRY",
        "middle_name": "DANIEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vu V Dinh, RPH
• Cecilia Lynch Disney, MD
• Elizabeth Disney
• Ruth Alexander Doane, RDH
• Katrina Dopp, APRN
• Anne Maureen Doyle, MA, CCC-SLP
• Jake Dreyfus
• Nancy Dyer, MSW, LADC
• Joseph A Ebner, MD
• Jovanna L Eisenbarth, CRNA

• Occupational Therapist in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.