Active NPI
Brian E Dougherty, DPT
- Physical Therapist
- Bridgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01680700
- Practice address
- 745 Rte 202/206 Ste 303
Bridgewater, NJ 08807-1758 - Phone
- (908) 231-8002
- Fax
- (908) 237-8006
- NPI assigned
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01680700 | NJ | Primary |
Addresses
Primary practice location
745 Rte 202/206 Ste 303
Bridgewater, NJ 08807-1758
Mailing address
4 Walter E Foran Blvd Ste 203
Flemington, NJ 08822-4666
Phone (908) 237-0000
Other practice location 1
4 Walter E Foran Blvd Ste 203
Flemington, NJ 08822-4666
Phone (908) 237-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01680700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111
303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738
Organizations & group practices 2
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.
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1942756978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WALTER E FORAN BLVD STE 203",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224666",
"telephone_number": "908-237-0000",
"fax_number": "908-237-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 RTE 202/206 STE 303",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071758",
"telephone_number": "908-231-8002",
"fax_number": "908-237-8006"
}
],
"practiceLocations": [
{
"address_1": "4 Walter E Foran Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Flemington",
"state": "NJ",
"postal_code": "088224666",
"country_code": "US",
"telephone_number": "908-237-0000",
"fax_number": "908-237-0001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "BRIAN",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01680700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.