Active NPI
Kayla Daugherty, PT, DPT
- Orthopedic Physical Therapist
- Boca Raton, FL
National Provider Identifier
1871017087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 39332
- Practice address
- 6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218 - Phone
- (800) 513-5614
- NPI assigned
- Jul 29, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 62194 | OR | |
| Orthopedic Physical Therapist | 2251X0800X | 60755297 | WA | |
| Orthopedic Physical Therapist | 2251X0800X | 39332 | CA | Primary |
Addresses
Primary practice location
6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218
Mailing address
6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218
Phone (800) 513-5614
Other practice location 1
409 12th ST
Pacific Grove, CA 93950
Phone (831) 915-2127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62194 | OR | MD | Orthopedic Physical Therapist |
| 60755297 | WA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871017087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 PARK OF COMMERCE BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334878218",
"telephone_number": "800-513-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 PARK OF COMMERCE BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334878218",
"telephone_number": "800-513-5614"
}
],
"practiceLocations": [
{
"address_1": "409 12th ST",
"address_purpose": "LOCATION",
"city": "Pacific Grove",
"state": "CA",
"postal_code": "93950",
"country_code": "US",
"telephone_number": "831-915-2127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "KAYLA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "62194",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "60755297",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "39332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.