Individual provider Active NPI

Kristin Lois Daugherty, DPT

  • Physical Therapist
  • Moore, OK
National Provider Identifier
1871979609
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4937 Issued in OK
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

Updated by the provider on Jan 24, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20150911000103 OK Practitioner - Physical Therapist in Private Practice 1658688486 Reassigns benefits to 2 organizations

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
PTMS 3.0 LLCGroup PAC ID 2365768231, 115 clinicians

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

OrganizationSpecialtyStatusNew patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince May 29, 2015 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Jan 29, 2025 Accepting new patients
PTMS 3.0, LLC Physical Therapist CurrentSince Jan 29, 2025 Accepting new patients
PTMS 3.0, LLC Physical Therapist Current Accepting new patients
Valir Outpatient Clinics LLC PastSince Jul 10, 2022 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 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.

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.

Verify at the official NPI Registry.