Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Patrick Dougherty, DPT

Individual provider Physical Therapist · NPI 1376944389

Dr. Kevin Patrick Dougherty, DPT is a Physical Therapist in Private Practice in East Stroudsburg, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Mountain Valley Orthopedics PC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

600 Plaza Ct Ste A
East Stroudsburg, PA 18301-8263
Phone: (705) 170-5115
Fax: (570) 421-7091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1991 Fordham Dr, Fayetteville, NC 28304-3773 — (910) 484-3114

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT023697 (PA)

Record details

NPI number1376944389
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 9, 2014
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mountain Valley Orthopedics Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Stroudsburg