| Dr Kevin Patrick Dougherty, DPT | |
|
600 Plaza Ct Ste A, East Stroudsburg, PA 18301-8263 | |
| (705) 170-5115 | |
| (570) 421-7091 |
| Full Name | Dr Kevin Patrick Dougherty |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 600 Plaza Ct Ste A, East Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376944389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT023697 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Valley Orthopedics Pc | 6901899111 | 19 |
| Provider Name | Mountain Valley Orthopedics Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538226519 PECOS PAC ID: 6901899111 Enrollment ID: O20040405000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Patrick Dougherty, DPT 600 Plaza Ct Ste A, East Stroudsburg, PA 18301-8263 Ph: (705) 170-5115 | Dr Kevin Patrick Dougherty, DPT 600 Plaza Ct Ste A, East Stroudsburg, PA 18301-8263 Ph: (705) 170-5115 |
Nicholas Elliott, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 600 Plaza Ct, East Stroudsburg, PA 18301 Phone: 570-517-0511 Fax: 570-421-7091 | |
Maria Jordan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 Independence Rd, East Stroudsburg, PA 18301 Phone: 610-861-8080 | |
Florence Corcoran, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 S Courtland St Ste 101, East Stroudsburg, PA 18301 Phone: 570-420-0606 Fax: 570-420-0646 | |
Mr. Thomas Allan Laudino, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Plaza Ct, C, East Stroudsburg, PA 18301 Phone: 570-421-7020 Fax: 570-421-7091 | |
Dr. Bailey Brugler, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 Independence Rd, East Stroudsburg, PA 18301 Phone: 484-273-4241 | |
Dora Godnig, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 66 S Courtland St, # 101, East Stroudsburg, PA 18301 Phone: 570-420-0606 Fax: 570-420-0646 | |
Ms. Kelly L Ward-lawrence, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Seven Bridge Road, East Stroudsburg, PA 18301 Phone: 570-643-5530 Fax: 570-424-2346 |