Active NPI
Kristin Lois Daugherty, DPT
- Physical Therapist
- Moore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4937
- Practice address
- 1414 N Eastern Ave
Moore, OK 73160-5740 - Phone
- (405) 703-4003
- Fax
- (405) 703-2279
- NPI assigned
- Aug 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4937 | OK | Primary |
Addresses
Primary practice location
1414 N Eastern Ave
Moore, OK 73160-5740
Mailing address
3611 River Ridge Dr
Newcastle, OK 73065-6625
Phone (580) 704-8150
Other practice location 1
7005 SE 15th St Ste 200
Midwest City, OK 73110-5126
Phone (405) 610-2488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 N Washington Ave
Weatherford, OK 73096-3256
Phone (580) 330-1080
1725 S Hwy 183
Suite 100
Clinton, OK 73601-9531
Phone (580) 323-1682
3200 S Mustang Rd
Suite 300
Yukon, OK 73099-6056
Phone (405) 353-2159
440 Merchant Dr
Norman, OK 73069-6470
Phone (405) 809-8713
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Health Oklahoma Outpatient Clinics LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| Valir Outpatient Clinics LLC | Past | Accepting new patients | |
| Valir Outpatient Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112
7005 SE 15th St
Ste 200
Midwest City, OK 73110
Phone (405) 610-2488
1414 N Eastern Ave
Moore, OK 73160
Phone (405) 376-3535
440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600
800 NW 6th St
Oklahoma City, OK 73106
Phone (405) 609-3636
700 NW 7th St
Ste 118
Oklahoma City, OK 73102
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Norman, OK
- NPI 1942690375
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1982683306
-
- Physical Therapist
- Davis, OK
- NPI 1750671079
-
- Physical Therapist
- Bethany, OK
- NPI 1972056786
-
- Physical Therapist
- Shawnee, OK
- NPI 1245765536
-
- Durable Medical Equipment & Medical Supplies
- Midwest City, OK
- NPI 1275713489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1871979609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 RIVER RIDGE DR",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "730656625",
"telephone_number": "580-704-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 N EASTERN AVE",
"city": "MOORE",
"state": "OK",
"postal_code": "731605740",
"telephone_number": "405-703-4003",
"fax_number": "405-703-2279"
}
],
"practiceLocations": [
{
"address_1": "7005 SE 15th St Ste 200",
"address_purpose": "LOCATION",
"city": "Midwest City",
"state": "OK",
"postal_code": "731105126",
"country_code": "US",
"telephone_number": "405-610-2488",
"fax_number": "405-610-2484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "KRISTIN",
"middle_name": "LOIS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.