Kevin Lee Dale, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5844 Issued in OK

Practice address

2560 E Kenosha St
Broken Arrow, OK 74014-6712

Phone

(918) 994-7864

NPI assigned

May 13, 2020

Last updated

Jan 29, 2025By 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 TX, OK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drayer Physical Therapy Oklahoma LLCGroup PAC ID 7315240744, 12 clinicians

Practice addresses (Care Compare)

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.

• Drayer Physical Therapy Oklahoma LLC

  • Physical Therapist
  • Skiatook, OK
  • NPI 1316345705
  Medicare reassignment Care Compare group NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment NPD
• Therapy in Motion of Oklahoma LLC

  • Physical Therapist
  • Norman, OK
  • NPI 1588280952
  Medicare reassignment NPD
• Cherokee Nation

  dba Cherokee Nation Public Health

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Muskogee, OK
  • NPI 1841207156
  NPD
• Drayer Physical Therapy Oklahoma LLC

  • Physical Therapist
  • Pryor, OK
  • NPI 1346798147
  NPD
• Drayer Physical Therapy Oklahoma LLC

  • Physical Therapist
  • Glenpool, OK
  • NPI 1861054454
  NPD

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1619599511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146712",
            "telephone_number": "918-994-7864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9136 S Sheridan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335328",
            "country_code": "US",
            "telephone_number": "918-488-9991",
            "fax_number": "918-489-9989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9540 N Garnett Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554410",
            "country_code": "US",
            "telephone_number": "918-609-1300",
            "fax_number": "918-609-1318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12100 S Yukon Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Glenpool",
            "state": "OK",
            "postal_code": "740336661",
            "country_code": "US",
            "telephone_number": "918-992-6247",
            "fax_number": "539-867-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cutting Edge Surgical Assistants LLC
• D. Todd Johnson DDS, PC
• Emily Dahlgren, LMT
• Robert Dahlka
• George T. Dakil, OPTICIAN
• Bryan L. Dalton, D.O.
• Maryanne E. Damico, O.T.R.
• Kaitlyn Paige Daniels
• Kristi Marie Daniels
• Kim Thien Dao

• Physical Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.