Katherine Michelle Dalton, DPT
Individual provider Active NPI Physical Therapist · Moberly, MO
NPI 1619852787 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1619852787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2025033831 (MO)
- Practice address
- 2100 Silva LN Ste B
Moberly, MO 65270-3678 - Phone
- (660) 263-6223
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Wickham Cir
Bella Vista, AR 72715-8936
1600 E Broadway
Columbia, MO 65201-5844
2100 Silva LN
Moberly, MO 65270-3677
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260522002606 | MO | Practitioner - Physical Therapist in Private Practice | 7113497843 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025033831 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Missouri Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Boone Physician Services, LLC | Past |
Accepting new patients |
Locations
1238 N Remington St
Centralia, MO 65240
Phone (573) 682-2230
2100 Silva Ln
Ste B
Moberly, MO 65270
Phone (660) 263-6223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2025033831 | MO | Yes |
Addresses
Primary practice location
2100 Silva LN Ste B
Moberly, MO 65270-3678
Mailing address
524 Wescott LN
Moberly, MO 65270-3500
Phone (660) 676-9925
Other providers in Moberly, MO
- Finess Copeland
- Bobbie Jo Cortez
- Anita Marie Cox
- Curators of the University of Missouri
- Curators of the University of Missouri
- Dan R Boardsen OD PC
- Jill R Darwent
- Kevin Curtis Davies
- Joshua David Delozier
- Developing Wings Mental Health LLC
All providers in Moberly, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.