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

Mr. Connor James Dougherty, DPT

Individual provider Physical Therapist · NPI 1396224853

Mr. Connor James Dougherty, DPT is a Physical Therapist in Private Practice in Bellevue, Washington. Qualified in 2018, 8 years ago. Practices with Central Massachusetts Physical Therapy and Wellness LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
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

110 110th Ave NE Ste 110
Bellevue, WA 98004-5840
Phone: (425) 628-2072
Fax: (425) 341-9056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60858127 (WA)

Record details

NPI number1396224853
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018
Mailing address4220 132nd St Se Ste 101, Mill Creek, WA 98012-8999

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Central Massachusetts Physical Therapy And Wellness Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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