Active NPI
James Hayden Daugherty, DPT
- Physical Therapist
- Moore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4965
- Practice address
- 620 S Santa Fe Ave
Moore, OK 73160-2476 - Phone
- (405) 809-8655
- Fax
- (405) 759-3696
- NPI assigned
- Jun 23, 2015
- Last updated
- Jun 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4965 | OK | Primary |
Addresses
Primary practice location
620 S Santa Fe Ave
Moore, OK 73160-2476
Mailing address
440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 S Mustang Rd
Suite 300
Yukon, OK 73099-6056
Phone (405) 353-2159
440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4965 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTMS 3.0,, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
Locations
620 S Santa Fe Ave
Moore, OK 73160
Phone (405) 809-8655
433 E State Highway 152
Mustang, OK 73064
Phone (405) 353-2159
440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600
Organizations & group practices 3
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": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1578945960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MERCHANT DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696470",
"telephone_number": "405-809-8713",
"fax_number": "405-573-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S SANTA FE AVE",
"city": "MOORE",
"state": "OK",
"postal_code": "731602476",
"telephone_number": "405-809-8655",
"fax_number": "405-759-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "JAMES",
"middle_name": "HAYDEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.