Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael John Doherty, ATC, LAT, DPT

Individual provider Athletic Trainer · NPI 1730616574

Michael John Doherty, ATC, LAT, DPT is a Physical Therapist in Private Practice in Munster, Indiana. Qualified in 2017, 9 years ago. Practices with Bentonville Physical Therapy Specialists, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10133 Devonshire Ln
Munster, IN 46321-4376
Phone: (219) 381-1861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36002268A (IN)

Record details

NPI number1730616574
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT , DPT
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing address10133 Devonshire Ln, Munster, IN 46321-4376

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bentonville Physical Therapy Specialists — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Munster