Individual provider Active NPI

Kyle Richard Daugherty, DPT

  • Physical Therapist
  • Lexington, SC
National Provider Identifier
1154834364
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10527 Issued in SC
Practice address
229 Saluda Springs Rd
Lexington, SC 29072-6667
Phone
(803) 359-0505
Fax
(803) 359-2206
NPI assigned
Nov 9, 2017
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 26779 MD
Physical Therapist 225100000X 10527 SC Primary

Addresses

Primary practice location

229 Saluda Springs Rd
Lexington, SC 29072-6667

Mailing address

141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 359-0505

Other practice location 1

123 E Medical Ln
West Columbia, SC 29169-4813
Phone (803) 791-2397

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdaugherty146886@direct.lexmed.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211022001140 SC Practitioner - Physical Therapist in Private Practice 7214295096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

1320 Dutch Fork Rd
Suite a
Irmo, SC 29063-8825
Phone (803) 314-5450

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10527SCMDPharmacist
26779MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince May 24, 2022 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Dre Holding Co LLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Lexington Health Inc CurrentSince May 24, 2022 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

7033 Saint Andrews Rd
Ste 203
Columbia, SC 29212
Phone (803) 749-6759

1320 Dutch Fork Rd
#A
Irmo, SC 29063
Phone (803) 314-5450

229 Saluda Springs Rd
Lexington, SC 29072
Phone (803) 359-0505

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

123 E Medical Ln
West Columbia, SC 29169
Phone (803) 791-2397

Interoperability endpoints

  • Direct secure messaging: kdaugherty146886@direct.lexmed.com

Organizations & group practices 7

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1154834364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ATRIUM WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236301",
            "telephone_number": "803-359-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SALUDA SPRINGS RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726667",
            "telephone_number": "803-359-0505",
            "fax_number": "803-359-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 E Medical Ln",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694813",
            "country_code": "US",
            "telephone_number": "803-791-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "KYLE",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26779",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdaugherty146886@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "123 E Medical Ln",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.