Individual provider Active NPI

Kaylie Upton, DPT

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1063118388
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3825 NW 166TH St # 6
Edmond, OK 73012-9227
Phone
(405) 215-9002
Fax
(405) 509-5546
NPI assigned
Feb 7, 2023
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3825 NW 166TH St # 6
Edmond, OK 73012-9227

Mailing address

3825 NW 166TH St # 6
Edmond, OK 73012-9227
Phone (405) 215-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Echo Sports Physical Therapy CurrentSince Mar 1, 2023 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Apr 1, 2024 Accepting new patients

Locations

3825 NW 166th St
Ste D6
Edmond, OK 73012
Phone (405) 215-9002

Organizations & group practices 2

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1063118388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 NW 166TH ST # 6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129227",
            "telephone_number": "405-215-9002",
            "fax_number": "405-509-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 NW 166TH ST # 6",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129227",
            "telephone_number": "405-215-9002",
            "fax_number": "405-509-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "KAYLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.