Provider Demographics
NPI:1285102319
Name:DOUGHERTY, CATHERINE M (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:DOUGHERTY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CAHABA PARK CIR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8130
Mailing Address - Country:US
Mailing Address - Phone:205-634-2115
Mailing Address - Fax:832-412-2983
Practice Address - Street 1:201 CAHABA PARK CIR STE 400
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8130
Practice Address - Country:US
Practice Address - Phone:205-634-2115
Practice Address - Fax:832-412-2983
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH103832251P0200X, 225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist