Maureen Helen Doherty, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00823 Issued in IA

Practice address

1646 5TH Ave N
Estherville, IA 51334-1760

Phone

(712) 362-3522

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962527028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COTTAGE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560312408",
            "telephone_number": "507-236-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 5TH AVE N",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341760",
            "telephone_number": "712-362-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MAUREEN",
        "middle_name": "HELEN",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Emmet (Emmet County Public Health)
• Courtney S. Meyer, D.D.S., L.L.C.
• James C. Creech, M.D.
• Amy Deim, PHARM D
• Sara Denise Deitering, COTA
• Shannon M Edwards, FNTP
• Emmet County Case Management
• Kristine Ann Enerson
• Estherville Al Windsor Manor
• Estherville Ambulance Service Inc.

• Physical Therapy Assistant in Estherville, IA
• Providers in Estherville, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.