Individual provider Active NPI

Katie Diane Peeler, DPT

  • Physical Therapist
  • Shawnee, OK
National Provider Identifier
1184116279
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2506 N Harrison St
Shawnee, OK 74804-3131
Phone
(405) 214-0300
Fax
(405) 214-0301
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

2506 N Harrison St
Shawnee, OK 74804-3131

Mailing address

PO Box 3675
Shawnee, OK 74802-3675
Phone (405) 214-0300

Other names 1

  • Katie Sanders Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731001710 OK Practitioner - Physical Therapist in Private Practice 8022366525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

9060 Harmony Dr
Midwest City, OK 73130-6218
Phone (405) 610-8090

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

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5505OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Saints Medical Group, LLC CurrentSince Oct 16, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Oct 16, 2024 Accepting new patients

Locations

941 W I 35 Frontage Rd
Ste 132
Edmond, OK 73034
Phone (405) 227-9667

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

9060 Harmony Dr
Oklahoma City, OK 73130
Phone (405) 610-8090

2309 N Milt Phillips Ave
Ste B
Seminole, OK 74868
Phone (405) 214-0300

2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1184116279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3675",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748023675",
            "telephone_number": "405-214-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043131",
            "telephone_number": "405-214-0300",
            "fax_number": "405-214-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELER",
        "first_name": "KATIE",
        "middle_name": "DIANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SANDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.