Individual provider Active NPI

Kelley Howl, PT, DPT

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1033634290
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5609 Issued in OK
Practice address
17513 Braken Dr
Edmond, OK 73012-1247
Phone
(405) 938-8383
Fax
(405) 888-8322
NPI assigned
Aug 9, 2017
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1295580 TX
Physical Therapist 225100000X 5609 OK Primary

Addresses

Primary practice location

17513 Braken Dr
Edmond, OK 73012-1247

Mailing address

17513 Braken Dr
Edmond, OK 73012-1247
Phone (405) 938-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002854 OK Practitioner - Physical Therapist in Private Practice 7517230261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1295580TXMDPhysical Therapist
5609OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 5, 2024 Accepting new patients
Howl Physical Therapy Inc PastSince Jan 14, 2024 Accepting new patients

Locations

3030 NW Expressway St
Ste 300
Oklahoma City, OK 73112
Phone (405) 326-7287

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1033634290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17513 BRAKEN DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121247",
            "telephone_number": "405-938-8383",
            "fax_number": "405-888-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17513 BRAKEN DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121247",
            "telephone_number": "405-938-8383",
            "fax_number": "405-888-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWL",
        "first_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1295580",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.