Deeann Elizabeth Dougherty, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1177 Issued in OR

Practice address

17120 Pilkington Rd
Lake Oswego, OR 97035-5353

Phone

(503) 768-9873

Fax

(503) 974-9083

NPI assigned

Mar 22, 2007

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Connect Physical Therapy, LLCGroup PAC ID 9537302245, 8 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.

• Connect Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Tigard, OR
  • NPI 1023386257

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1700903127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17120 PILKINGTON RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355353",
            "telephone_number": "503-768-9873",
            "fax_number": "503-974-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17120 PILKINGTON RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355353",
            "telephone_number": "503-768-9873",
            "fax_number": "503-974-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "DEEANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Dorrell, LMT, CA
• Sarah Brooke Dorsey, LCSW
• Nicholas G Dose, D.M.D.
• Melainie T Dottin
• Erika Doty
• Douglas Counseling P.a.
• George M Douglass Jr., MD
• Campbell Leigh Dow
• Dr Jeffrey B Van Orman
• Dr Jen Cicilian LLC

• Orthopedic Physical Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.