Mr Kevin Patrick Doherty, PT | |
14825 N Outer Forty Road, Suite 300, Chesterfield, MO 63005-0002 | |
(636) 812-1211 | |
(636) 812-0159 |
Full Name | Mr Kevin Patrick Doherty |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 14825 N Outer Forty Road, Chesterfield, Missouri |
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 |
---|---|---|---|
1336180249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 2006009447 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357 |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Patrick Doherty, PT 13537 Barrett Parkway Drive, Suite 105, Ballwin, MO 63021-5866 Ph: (314) 821-9126 | Mr Kevin Patrick Doherty, PT 14825 N Outer Forty Road, Suite 300, Chesterfield, MO 63005-0002 Ph: (636) 812-1211 |
Nicholas Louis Hennicke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-536-3800 | |
Midwest Physical Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 14821 Clayton Rd, Chesterfield, MO 63017 Phone: 636-227-0559 Fax: 636-227-0232 | |
Advanced Training And Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 14450 S Outer 40 Rd, Chesterfield, MO 63017 Phone: 314-434-6060 | |
Mrs. Jacqueline Ann Mcmanus, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1025 Chesterfield Pointe Pkwy, Chesterfield, MO 63017 Phone: 636-489-4116 | |
Elizabeth Beckner, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1585 Woodlake Dr, Suite 214, Chesterfield, MO 63017 Phone: 314-205-8858 Fax: 314-205-2113 | |
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 14825 N Outer 40 Rd Ste 300, Chesterfield, MO 63017 Phone: 636-812-1211 Fax: 636-812-0159 | |
Manual Therapy Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17300 N Outer 40, Suite 205, Chesterfield, MO 63005 Phone: 636-728-1777 Fax: 636-728-1793 |