Kathleen O'Neal Doherty, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.025995 Issued in IL

Practice address

676 N Saint Clair St Ste 950
Chicago, IL 60611-2955

Phone

(312) 694-7337

Fax

(312) 695-0156

NPI assigned

Jul 9, 2021

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  Medicare reassignment Care Compare group NPD
• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
  • NPI 1417561655

  Physical Therapist

  Medicare reassignment NPD
• Northwestern Medical Faculty Foundation

  dba Northwestern Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1417718479
  NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1588278741
  NPD
• Central Dupage Physician Group

  dba Northwestern Medicine Regional Medical Group

  • Family Medicine Physician
  • Carol Stream, IL
  • NPI 1033149844
  NPD (past)

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1689245615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 950",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112955",
            "telephone_number": "312-694-7337",
            "fax_number": "312-695-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 950",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112955",
            "telephone_number": "312-694-7337",
            "fax_number": "312-695-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "KATHLEEN",
        "middle_name": "O'NEAL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kadoherty@rushpt.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5112 Museum Dr",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604537005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Doherty
• Bianca Alexandria Doherty, PA-C
• Colleen Patricia Doherty, M.D.
• Daniel Leo Doherty Jr., PA
• Julia Ann Doherty, OTR
• Kiley Doherty
• Mary Debra Doherty, D.T.
• Shannon Marie Doherty, OTR/L
• Lindsay Anne Dohse, ACNP-BC
• Mary Doi, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.