Brent Doherty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28099 Issued in MA

Practice address

473 W Central St
Franklin, MA 02038-2901

Phone

(508) 528-0147

NPI assigned

Nov 20, 2024

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

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MK Rehabilitation, LLCGroup PAC ID 7416975388, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• MK Rehabilitation, LLC

  • Rehabilitation Practitioner
  • Franklin, MA
  • NPI 1548387897

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1700601176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 W CENTRAL ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 W CENTRAL ST",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020382901",
            "telephone_number": "508-528-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "28099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Digioia, DPT
• Margaret Dimarzio
• Tyler Dipalma
• Vidya Dixit, M.D.
• Leigh Ellen Larkin Dobbs, MSN, APRN, FNP-BC
• Bridget Doherty
• Amanda Donahue, ATC
• Danielle Kylie Donovan, RN, BSN, IBCLC
• Jessica Donovan, FNP-BC
• Matthew Donovan, DPT

• Physical Therapist in Franklin, MA
• Providers in Franklin, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.