Provider Demographics
NPI:1033942347
Name:DOYLE, HEATHER MARIE (DPT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:LIPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6405 ROCK FOREST DR APT 404
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-7928
Mailing Address - Country:US
Mailing Address - Phone:785-340-5061
Mailing Address - Fax:
Practice Address - Street 1:3203 TOWER OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4258
Practice Address - Country:US
Practice Address - Phone:301-718-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225100000X
NCP21489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist