Individual provider Active NPI

Kayla Daugherty, PT, DPT

  • Orthopedic Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1871017087
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
39332 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
62194ORMDOrthopedic Physical Therapist
60755297WAMDOrthopedic 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.

Verify at the official NPI Registry.