Kaitlin Briana Lubbers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5567 Issued in OK

Practice address

1207 S Lee St
Fort Gibson, OK 74434-8757

Phone

(918) 207-7298

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Arkansas College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Limitless Physical Therapy LLC

  • Clinic/Center
  • Fort Gibson, OK
  • NPI 1316695919

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1073138111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S LEE ST",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348757",
            "telephone_number": "918-207-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S LEE ST",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348757",
            "telephone_number": "918-207-7298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 E Redwood Ave",
            "address_purpose": "LOCATION",
            "city": "Sallisaw",
            "state": "OK",
            "postal_code": "749552811",
            "country_code": "US",
            "telephone_number": "918-774-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBBERS",
        "first_name": "KAITLIN",
        "middle_name": "BRIANA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "klubbers@smhok.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "address_1": "213 E Redwood Ave",
            "city": "Sallisaw",
            "state": "OK",
            "country_code": "US",
            "postal_code": "749552811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Kirkendall
• Sally Lim
• Limitless Physical Therapy LLC
• Denise I Littlepage
• Bradley Roscoe Littleton, APRN
• Lynn McComb
• Lauren Means, DDS
• Susan Marie Miller, FNP-C
• Alec Moreno
• Aubree Morton, CF-SLP

• Physical Therapist in Fort Gibson, OK
• Providers in Fort Gibson, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.