Individual provider Active NPI

Dalton Loukota, DPT, PT

  • Physical Therapist
  • Lee's Summit, MO
National Provider Identifier
1649846452
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2021019716 Issued in MO
Practice address
1174 NE Douglas St
Lees Summit, MO 64086-4602
Phone
(816) 875-3884
Fax
(816) 524-5080
NPI assigned
Jun 2, 2021
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 2021019716 MO Primary

Addresses

Primary practice location

1174 NE Douglas St
Lees Summit, MO 64086-4602

Mailing address

PO Box 650020, Dept 5093
Dallas, TX 75265-0020
Phone (816) 875-3884

Other practice location 1

6401 E Front St
Kansas City, MO 64120-1356
Phone (816) 241-0603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1174 NE Douglas St
Lees Summit, MO 64086-4602

1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021019716MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1649846452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650020, DEPT 5093",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650020",
            "telephone_number": "816-875-3884",
            "fax_number": "816-524-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864602",
            "telephone_number": "816-875-3884",
            "fax_number": "816-524-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 E Front St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641201356",
            "country_code": "US",
            "telephone_number": "816-241-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUKOTA",
        "first_name": "DALTON",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021019716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.