Kelly Detherage, PTA
NPI 1245543966 · Physical Therapy Assistant · Weatherford, TX
Kelly Detherage, PTA is a Physical Therapy Assistant provider in Weatherford, TX (NPI 1245543966).
Provider details
- NPI number
- 1245543966
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2076950 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-22
- Last updated
- 2010-07-22
Frequently asked questions
- What is Kelly Detherage's NPI number?
- Kelly Detherage's National Provider Identifier (NPI) is 1245543966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Detherage's specialty?
- Kelly Detherage is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Detherage located?
- Kelly Detherage's practice location on file with NPPES is 1201 Holland Lake Drive, Weatherford, TX 76086.
- What is Kelly Detherage's phone number?
- The practice phone number listed in the NPPES registry for Kelly Detherage is (817) 613-9699.
- Is Kelly Detherage's NPI active?
- Yes — Kelly Detherage's NPI (1245543966) is active in the NPPES registry as of the last update on 2010-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.