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

Mr. Kevin Patrick Doherty, PT

Individual provider Orthopedic Physical Therapist · NPI 1336180249

Mr. Kevin Patrick Doherty, PT is a Physical Therapist in Private Practice in Chesterfield, Missouri. Qualified in 2006, 20 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

14825 N Outer Forty Rd Ste 300
Chesterfield, MO 63005-0002
Phone: (636) 812-1211
Fax: (636) 812-0159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2006009447 (MO)

Record details

NPI number1336180249
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESMay 11, 2010
Mailing address13537 Barrett Parkway Drive, Suite 105, Ballwin, MO 63021-5866

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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