Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katlyn Jo Douglas, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1083140859

Katlyn Jo Douglas, PT, DPT, ATC is a Physical Therapist in Private Practice in Webb City, Missouri. Qualified in 2017, 9 years ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Arkansas, Kansas and Missouri.

Years since qualifying
9
Licensed in
AR, KS, MO
In the registry since
2017
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

501 S Madison St Ste L
Webb City, MO 64870-2502
Phone: (417) 673-2156
Fax: (417) 673-2176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2017022200 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-05675 (KS)
Physical Therapist Taxonomy 225100000X · Licence PT4604 (AR)

Record details

NPI number1083140859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESFebruary 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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