Individual provider Active NPI

David Scott Dougherty, OTR

  • Occupational Therapist
  • Gig Harbor, WA
National Provider Identifier
1811065857
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60564371 Issued in WA
Practice address
4411 Point Fosdick Dr Ste 101
Gig Harbor, WA 98335-1703
Phone
(253) 851-7472
Fax
(253) 851-7473
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 111425 TX
Occupational Therapist 225X00000X OT60564371 WA Primary

Addresses

Primary practice location

4411 Point Fosdick Dr Ste 101
Gig Harbor, WA 98335-1703

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 682-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723009755 WA Practitioner - Occupational Therapist in Private Practice 3971816661 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians
Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

12121 Harbour Reach Dr
Suite 100
Mukilteo, WA 98275-5314
Phone (425) 493-8313

15906 Mill Creek Blvd
Suite 106
Mill Creek, WA 98012-1797
Phone (425) 332-1030

7728 204TH St NE
Unit a
Arlington, WA 98223-2500
Phone (360) 403-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT60564371WAMDOccupational Therapist
111425TXMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince May 26, 2015 Accepting new patients
Redmond Ridge Physical Therapy PLLC CurrentSince May 26, 2015 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Occupational Therapist CurrentSince Oct 1, 2019 Accepting new patients
Redmond Ridge Physical Therapy PLLC Hand CurrentSince May 26, 2015 Accepting new patients
Integrated Rehabilitation Group, PC Hand CurrentSince May 26, 2015 Accepting new patients
Summit Rehabilitation PLLC Occupational Therapist CurrentSince Dec 2, 2019 Accepting new patients
Integrated Rehabilitation Group, PC Occupational Therapist CurrentSince May 26, 2015 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince May 26, 2015 Accepting new patients
Summit Rehabilitation PLLC Occupational Therapist CurrentSince Dec 2, 2019 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. PastSince Oct 1, 2019 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

7728 204th St NE
Unit A
Arlington, WA 98223
Phone (360) 403-8250

2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085

22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1811065857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-682-8840",
            "fax_number": "423-602-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-7472",
            "fax_number": "253-851-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "111425",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60564371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.