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

Mrs. Nicole Marie Dougherty

Individual provider Physical Therapist · NPI 1164759841

Mrs. Nicole Marie Dougherty is a Physical Therapist in Private Practice in Media, Pennsylvania. Qualified in 2003, 23 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2009
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Practice location Address checks out

519 E Baltimore Pike
Media, PA 19063-3509
Phone: (484) 441-0622
Fax: (484) 441-0623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1098 W Baltimore Pike, Media, PA 19063-5139 — (610) 891-3030

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016655 (PA)

Record details

NPI number1164759841
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2009
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Media