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Lisa Marie Dougherty, PT, DPT

NPI 1164538773ActiveIndividual· Physical Therapist· Kathleen, GA

Physical Therapist (PT, DPT) in Kathleen, Georgia, licensed in GA, with an NPI issued in August 2006. Medicare paid $11,799 for services to 26 patients in 2024.

Overview

NPI1164538773
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedAug 23, 2006
Last updated in NPPESFeb 22, 2024
Certified by providerFeb 22, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT006185GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients26
Services billed596 across 7 procedure codes
Paid by Medicare$11,799

Medicare sources and data years

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