Individual provider · Type 1 NPI

Kim Dougherty, PTA

Physical Therapy Assistant · New York, NY

NPI number 1154884906 Active

Practice location

113 E 23rd St
New York, NY 10010-4507

Call (646) 742-0165 Map

Fax (646) 742-0462

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X008255-1 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1154884906

Kim Dougherty, PTA's National Provider Identifier is 1154884906, issued on Apr 9, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New York, NY. The record was last updated on Jun 11, 2019.