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

Kim Dougherty, PTA

Individual provider Physical Therapy Assistant · NPI 1154884906

Kim Dougherty, PTA is a Physical Therapy Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

113 E 23rd St
New York, NY 10010-4507
Phone: (646) 742-0165
Fax: (646) 742-0462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 008255-1 (NY)

Record details

NPI number1154884906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESJune 11, 2019

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