Individual provider Active NPI

Kyle Ray, DPT

  • Physical Therapist
  • Lawton, OK
National Provider Identifier
1750981759
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008073 Issued in KY
Practice address
1354 NW Homestead Dr
Lawton, OK 73505-5223
Phone
(580) 699-5455
Fax
(580) 215-4991
NPI assigned
Oct 28, 2020
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 008073 KY Primary

Addresses

Primary practice location

1354 NW Homestead Dr
Lawton, OK 73505-5223

Mailing address

1354 NW Homestead Dr
Lawton, OK 73505-5223
Phone (580) 699-5455

Other practice location 1

3100 Olympus Blvd
Suite 500
Dallas, TX 75019
Phone (214) 442-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512003274 OK Practitioner - Physical Therapist in Private Practice 4385036912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jadam Lawton LLCGroup PAC ID 6204118797, 2 clinicians

Practice addresses (Care Compare)

1354 NW Homestead Dr
Lawton, OK 73505-5223
Phone (580) 699-5455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008073KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jadam Lawton LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients

Locations

1354 NW Homestead Dr
Lawton, OK 73505
Phone (580) 699-5455

Organizations & group practices 1

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1750981759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 NW HOMESTEAD DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055223",
            "telephone_number": "580-699-5455",
            "fax_number": "580-215-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 NW HOMESTEAD DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055223",
            "telephone_number": "580-699-5455",
            "fax_number": "580-215-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Olympus Blvd",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75019",
            "country_code": "US",
            "telephone_number": "214-442-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.