Gretchen Doucette, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1115145 Issued in TX

Practice address

1701 W Ben White Blvd Ste 100B
Austin, TX 78704-7646

Phone

(512) 440-1441

Fax

(512) 440-1448

NPI assigned

Aug 20, 2009

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

Other names 1

• Gretchen Bauer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1710119961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W BEN WHITE BLVD STE 100B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047646",
            "telephone_number": "512-440-1441",
            "fax_number": "512-440-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W BEN WHITE BLVD STE 100B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047646",
            "telephone_number": "512-440-1441",
            "fax_number": "512-440-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "GRETCHEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "BAUER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Zoryana Dougan, PA-C
• Carissa Anne Dougherty, LCSW
• Eric Dougherty, PHARM.D.
• Jonathan David Dougherty, MD, PHD

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.