Elizabeth Doughty, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4750 Issued in ME

Practice address

630 Ocean Ave
Portland, ME 04103-2704

Phone

(207) 221-7000

NPI assigned

Sep 4, 2015

Last updated

Apr 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coveside Physical Therapy LLC

  • Physical Therapist
  • Chebeague Island, ME
  • NPI 1700480464
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1760850879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STRAWBERRY HILL RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721443",
            "telephone_number": "508-735-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032704",
            "telephone_number": "207-221-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kallie M Dorsey, LMSW-CC
• Anuja Doshi, DDS, MS
• Andrea Doucette, NP
• William Carl Doucette, MD
• Kolleen Cannon Dougherty, M.D.
• Katie Doughty
• Chelsea Douglass, NNP
• Kaylee Dow
• Mary Dowd, MD
• Samantha Dowling, CTRS, MSRT, LMT, PTA

• Physical Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.