Kacy Lee Tibbetts, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4596 Issued in OK

Practice address

103 W Main St
Marlow, OK 73055-2437

Phone

(580) 721-7100

Fax

(833) 210-5732

NPI assigned

Dec 21, 2012

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

16.72 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

55.73

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H2 Health Oklahoma Outpatient Clinics LLC

  dba H2 Health

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1982683306
  Medicare reassignment Care Compare group NPD
• Blue Rock Health and Wellness LLC

  • Physical Therapy Clinic/Center
  • Marlow, OK
  • NPI 1578046827

  Physical Therapist

  NPD (past)
• Valir Outpatient Clinics LLC

  • Physical Therapist
  • Shawnee, OK
  • NPI 1245765536
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1386980241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730552437",
            "telephone_number": "580-721-7100",
            "fax_number": "833-210-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730552437",
            "telephone_number": "580-721-7100",
            "fax_number": "833-210-5732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Marlow",
            "state": "OK",
            "postal_code": "730553313",
            "country_code": "US",
            "telephone_number": "580-658-2319",
            "fax_number": "833-210-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "KACY",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-21",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Eldon Scott, DDS
• Ryan D Scott, DDS
• Shawn M Scott, DDS
• Caylin Smith, PT, DPT
• Southwest Therapy Solutions LLC
• Amy Vargas, PTA
• Victory Medical Equipment
• Victory Medical Equipment LLC
• Brian Lynn Webb
• Wesley J Walker, O.D. PLLC

• Physical Therapist in Marlow, OK
• Providers in Marlow, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.