KEVIN LEE DALE (DPT) – Physical Therapist, NPI 1619599511

KEVIN LEE DALE (DPT) is a healthcare provider. based in Vinita, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5844 (OK). The NPI Number for KEVIN LEE DALE (DPT) is 1619599511

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN LEE DALE (DPT)
NPI
1619599511
Phone
(918) 256-4800
Address
27371 S 4410 RD
Enumeration Date
13 May 2020
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9189947864
Graduation Year
2020 (6 years ago)
PAC ID
6002238862
Group Practice PAC ID
7315240744
Professional Enrollment ID
I20221010000683
Address ID
OK740146712BR2560XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for KEVIN LEE DALE (DPT)

  • 27371 S 4410 RD

    VINITA, OK 743017953

    Phone: (918) 256-4800

    Type: Mailing

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 497-0005

    Type: Mailing

  • 2560 E KENOSHA ST

    BROKEN ARROW, OK 740146712

    Phone: (918) 994-7864

    Type: Location

  • 9136 S Sheridan Rd Ste B

    Tulsa, OK 741335328

    Phone: (918) 488-9991

    Fax: (918) 489-9989

    Type: Location

  • 9540 N Garnett Rd Ste 101

    Owasso, OK 740554410

    Phone: (918) 609-1300

    Fax: (918) 609-1318

    Type: Location

  • 12100 S Yukon Ave Ste D

    Glenpool, OK 740336661

    Phone: (918) 992-6247

    Fax: (539) 867-7065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200624000695IPhysical Therapist In Private PracticeTXTBD
I20221010000683IPhysical Therapist In Private PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities62267$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes50244$0
97140Therapy procedure using manual technique, each 15 minutes43855$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8816$0
97116Therapy procedure for walking training, each 15 minutes7311$0
View full utilization report →

Insurance plans in this area (ZIP 74301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315240744View full group profile
NameSpecialtyState
-OK
-PA
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeAL
-OK
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-MS
-OK

Reviews

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Frequently asked questions

How do I look up KEVIN LEE DALE (DPT) by NPI?
Use NPI 1619599511 when you need to reference KEVIN LEE DALE (DPT) in forms, claims, or directories.
Is KEVIN LEE DALE (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KEVIN LEE DALE (DPT)'s specialty in plain language?
Clinically, the directory lists KEVIN LEE DALE (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KEVIN LEE DALE (DPT)?
The page summarizes Vinita, Oklahoma for KEVIN LEE DALE (DPT); expand the address list for detail.
What if Vinita, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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