Colin J Doherty

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002883 Issued in IL

Practice address

1000 S Quentin Rd
Palatine, IL 60067-7018

Phone

(847) 755-2790

NPI assigned

Dec 1, 2017

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 names 1

• Colin J Doherty Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1407361249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S QUENTIN RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S QUENTIN RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677018",
            "telephone_number": "847-755-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "COLIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLIN",
            "last_name": "DOHERTY",
            "middle_name": "J",
            "credential": "ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicholas Di Giacinto
• Patrick J Dicillo, D.O.
• Kathleen Michelle Dieker, PT, DPT
• Keiona Doctor, LSW
• Kelly Dohan
• Domanico Psychological Services
• Dominick'S Pharmacy
• Donna Maddalozzo DDS Ms PC
• Helen M Donnelly-Owens, FNP
• Michael T Donovan, D.D.S.

• Athletic Trainer in Palatine, IL
• Providers in Palatine, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.