Individual provider Active NPI

Christine Dougherty, D.P.T.

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1447591219
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035692-1 Issued in NY
Practice address
5700 Merrick Rd
Massapequa, NY 11758-6221
Phone
(516) 798-9605
Fax
(516) 798-9373
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035692-1 NY Primary

Addresses

Primary practice location

5700 Merrick Rd
Massapequa, NY 11758-6221

Mailing address

5700 Merrick Rd
Massapequa, NY 11758-6221
Phone (516) 798-9605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000230 NY Practitioner - Physical Therapist in Private Practice 7810133063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J. Schwarz, P.T., P.C.Group PAC ID 4082662556, 5 clinicians

Practice addresses (Care Compare)

5700 Merrick Rd
Massapequa, NY 11758-6221
Phone 51679896053

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as group
Quality
88.97
Improvement activities
40
Cost
86.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035692-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William J. Schwarz, P.T., P.C. CurrentSince Mar 1, 2013 Accepting new patients

Locations

5700 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-9605

Organizations & group practices 1

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1447591219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586221",
            "telephone_number": "516-798-9605",
            "fax_number": "516-798-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586221",
            "telephone_number": "516-798-9605",
            "fax_number": "516-798-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "CHRISTINE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035692-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.