KENNEDY STEWART PT, DPT
NPI 1104719145
Physical Therapist in Lawton, OK

Active since May 29, 2025Accepts Medicare Assignment
3401 W GORE BLVD, LAWTON, OK 73505(580) 355-8620 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Stewart Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY STEWART PT, DPT (NPI 1104719145) is an individual physical therapist in Lawton, Oklahoma, licensed in Oklahoma (6594) and active in the NPI registry since May 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1104719145
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKENNEDY STEWARTCredential: PT, DPT
Location Address3401 W GORE BLVDLawton, OK 73505-6332
Mailing Address3409 Jacquelyn TerDuncan, OK 73533-1199
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
NPI 1104719145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in OK · 6594
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3401 W GORE BLVD, Lawton, OK 73505

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kennedy Stewart Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769994433
PECOS Enrollment IDI20250626002735

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3401 W GORE BLVD
LAWTON, OK 73505
Student in an Organized Health Care Education/Training Program
3401 W GORE BLVD
LAWTON, OK 73505
Student in an Organized Health Care Education/Training Program
3401 W GORE BLVD
LAWTON, OK 73505
Pathology (Anatomic Pathology & Clinical Pathology)
3401 W GORE BLVD
LAWTON, OK 73505
Anesthesiology
3401 W GORE BLVD
LAWTON, OK 73505
Emergency Medicine
3401 W GORE BLVD
LAWTON, OK 73505
Pharmacy (Institutional Pharmacy)
3401 W GORE BLVD
LAWTON, OK 73505
Internal Medicine
3401 W GORE BLVD
LAWTON, OK 73505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Stewart's NPI number?

The NPI number for Kennedy Stewart is 1104719145. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Kennedy Stewart located?

Kennedy Stewart practices at 3401 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 355-8620.

What is Kennedy Stewart's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kennedy Stewart enrolled in Medicare?

Yes. Kennedy Stewart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kennedy Stewart accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kennedy Stewart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennedy Stewart was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.