Kathryn Claire Puckett, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6541 Issued in OK

Practice address

1824 Commons Cir Ste B
Yukon, OK 73099-9538

Phone

(405) 467-6782

Fax

(405) 467-6100

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Complete Rehab, LLC

  dba Oklahoma Pediatric Therapy Center

  • Rehabilitation Clinic/Center
  • Yukon, OK
  • NPI 1497178156

  Physical Therapist

  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1700627502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 WATERFORD BLVD APT 63",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181110",
            "telephone_number": "405-464-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 COMMONS CIR STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999538",
            "telephone_number": "405-467-6782",
            "fax_number": "405-467-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "KATHRYN",
        "middle_name": "CLAIRE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressing Forward Medical and Mental Health Services LLC
• Progressing Forward Medical and Mental Health Services LLC
• Progressive Sleep Diagnostic, LLC
• Kimberly Prosser, LCSW
• PTMS 3.0,LLC (Physical Therapy Central of Yukon)
• Stetson Wayne Purgason
• Alexandra Quinones
• Farhan Mujtaba Qureshi, MD
• Marissa Rachal
• Rachel Hixson LLC

• Physical Therapist in Yukon, OK
• Providers in Yukon, 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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.