MR. JEFFREY ALLEN DOUGHTY (NPI# 1184690067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184690067 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ALLEN DOUGHTY |
| Credential | DPT |
| Practice Address |
15650 36th Ave N Ste 140 Rattray Rehab Physical Therapy Plymouth MN 55446 |
| Practice Telephone | 7635460003 |
| Practice Fax Number | 7635251035 |
| Mailing Telephone | 7635460003 |
| Mailing Fax Number | 7635251035 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7570 | MN | Other Service Providers |
| Street Address |
15650 36TH AVE N STE 140 RATTRAY REHAB PHYSICAL THERAPY |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545135 | William L Laspe | Dentist | 15650 36th Ave N, Plymouth, MN 55446-2560 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1194977447 | Lokeh Plastic Surgery Pa | Specialist | 15535 34th Ave N # 100, Plymouth, MN 55447-1481 | 2008-10-17 |
| 1346402310 | Paul S Richelson | Specialist | 7 Town West Rd, Plymouth, NH 03264-3428 | 2008-06-30 |
| 1679753305 | Jeffrey Zorn | Specialist | 47 White Trellis, Plymouth, MA 02360-7789 | 2007-11-09 |
| 1841488541 | Tenney Mountain Internal Medicine | Specialist | 251 Mayhew Tpke, Plymouth, NH 03264-3026 | 2007-10-09 |
| 1982899688 | Family Home Physicians LLC | Specialist | 801 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-1694 | 2007-09-06 |
| 1134320203 | Alan R. Murphy, M.d.,p.c. | Specialist | 17 Muirfield Rd, Plymouth, MA 02360 | 2007-05-29 |
| 1669598454 | Susan Christie Krupin-carter | Specialist | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2007-03-22 |
| 1487787016 | Northstar Radiology Corporation Pa | Specialist | 36 Nathan Lane N, Plymouth, MN 55441 | 2007-03-13 |
| 1568599207 | Elsa Boayes Horn | Specialist | W9071 Forest Drive, Plymouth, WI 53073-0031 | 2007-02-28 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.