Active NPI
Donna Lynn Dougherty, B.S., M.S., OTR/L
- Occupational Therapist
- Souderton, PA
National Provider Identifier
1992107635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC006282L
- Practice address
- 50 Cambridge CT
Souderton, PA 18964-2904 - Phone
- (215) 896-2924
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC006282L | PA | Primary |
Addresses
Primary practice location
50 Cambridge CT
Souderton, PA 18964-2904
Mailing address
50 Cambridge CT
P.O. Box 40
Souderton, PA 18964-2904
Phone (215) 896-2924
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)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC006282L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1992107635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CAMBRIDGE CT",
"address_2": "P.O. BOX 40",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189642904",
"telephone_number": "215-896-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CAMBRIDGE CT",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189642904",
"telephone_number": "215-896-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "DONNA",
"middle_name": "LYNN",
"credential": "B.S., M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC006282L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Souderton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.