Nicole L O'Doherty, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11237 Issued in SC

Practice address

137 Professional LN
Pawleys Island, SC 29585-8631

Phone

(843) 585-3303

NPI assigned

Mar 2, 2022

Last updated

Jul 22, 2026By the provider in NPPES

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 SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Physical Therapy Group, LLCGroup PAC ID 3678939618, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Physical Therapy Group, LLC

  • Physical Therapist
  • Pawley's Island, SC
  • NPI 1255039061
  Medicare reassignment Care Compare group NPD
• Prosports Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Huntington, NY
  • NPI 1902928138
  NPD
• Amedisys Hospice, L.L.C.

  dba Amedisys Hospice of Bluefield

  • Community Based Hospice Care Agency
  • Bluefield, WV
  • NPI 1902064892
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1871240671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 SHORE RUSH DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856481",
            "telephone_number": "843-585-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PROFESSIONAL LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858631",
            "telephone_number": "843-585-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DOHERTY",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Myers, MD
• Nicholas a. Papadea DMD PA
• Julian Wade Nichols, DMD
• Scott A Nicol, M.D.
• Nuvista Home Health,LLC
• Terry O'Neal-Cox, M.D
• Mary Kathryn O'Neill, FNP
• Orthosc, LLC
• Pain Specialists of Charleston (Pain & Neurology Specialists of Pawley's Island)
• Palmetto Primary Care Physicians, LLC

• Physical Therapist in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.