MARY DOUGHERTY (NPI# 1982213757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982213757 |
| Entity Type | Individual |
| Full Name | MARY DOUGHERTY |
| Credential | OTR/L |
| Practice Address |
10011 Providence Rd W Charlotte NC 28277-1561 |
| Mailing Address |
8008 Soaring Eagle Ln Waxhaw NC 28173-7490 |
| Practice Telephone | 9802458500 |
| Mailing Telephone | 7049950935 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 10144 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942368360 | Mary J Dougherty | Counselor | 4221 N Kenmore Ave, Chicago, IL 60613 | 2006-12-05 |
| 1295954576 | Mary Dougherty | Occupational Therapist | 2901 Emrick Blvd, Lehigh Valley Health Rehabilitation Services, Bethlehem, PA 18020-8017 | 2007-04-24 |
| 1245324250 | Mary K Dougherty | Psychologist | 1204 Holly Lane, Glen Mills, PA 19342 | 2006-10-03 |
| 1194794453 | Mary C Dougherty | Internal Medicine | 2151 Shenango Valley Fwy, Hermitage, PA 16148-2586 | 2006-03-17 |
| 1215909064 | Mary Elizabeth Dougherty | Optometrist | 18780 Cox Ave, Saratoga, CA 95070 | 2006-02-06 |
| Street Address |
10011 PROVIDENCE RD W |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-1561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962832899 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 10011 Providence Rd W, Charlotte, NC 28277-1561 | 2013-11-13 |
| 1639522204 | Joseph Graham Turner IIi | Speech-Language Pathologist | 10011 Providence Rd W, Charlotte, NC 28277-1561 | 2016-07-19 |
| 1073986360 | Mary Pinto | Nurse Practitioner | 10011 Providence Rd W, Charlotte, NC 28277-1561 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279863 | Jessica Laser | Occupational Therapist | 8819 Norway Ct, Charlotte, NC 28269-5180 | 2020-09-13 |
| 1700424397 | Elizabeth Gendernalik | Occupational Therapist | 1027 Healthcare Dr, Charlotte, MI 48813-1056 | 2019-12-15 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1144865734 | Darci Pernoud | Occupational Therapist | 13000 S Tryon St Ste F-349, Charlotte, NC 28278-7652 | 2019-11-07 |
| 1619527199 | Paige Nicole Chester | Occupational Therapist | 206 Livingstone Falls Dr Apt 212, Charlotte, NC 28217-5247 | 2019-09-16 |
| 1528628823 | Happy Kids Therapy | Occupational Therapist | 11012 Knight Castle Dr, Charlotte, NC 28277-0212 | 2019-06-18 |
| 1861957235 | Rachel Floren Payne | Occupational Therapist | 2142 Commonwealth Ave Apt 423, Charlotte, NC 28205-5177 | 2019-02-09 |
| 1497234611 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 16139 Lancaster Hwy Ste 140, Charlotte, NC 28277-2033 | 2018-08-08 |
| 1023520558 | Brittany Stanton | Occupational Therapist | 2301 Crownpoint Executive Dr Ste 3, Charlotte, NC 28227-7824 | 2017-10-24 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| Find all providers in CHARLOTTE | ||||
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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.