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

Mrs. Maryellen Dougherty, MSPT

Individual provider Physical Therapist · NPI 1518057900

Mrs. Maryellen Dougherty, MSPT is a Physical Therapist in Private Practice in Media, Pennsylvania. Qualified in 2006, 20 years ago. Practices with Restoration Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
20
Licensed in
PA
In the registry since
2006
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Practice location Address checks out

203 E Baltimore Pike Ste 2
Media, PA 19063-3433
Phone: (610) 565-0670
Fax: (610) 565-7706
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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 PT018385 (PA)

Record details

NPI number1518057900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESApril 5, 2011

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 Restoration Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Media