Active NPI
Kevin O'Donnell, DPT
- Physical Therapist
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP039794T
- Practice address
- 4555 Liberty Rd S Ste 400
Salem, OR 97302-5091 - Phone
- (503) 485-1666
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP058712T | OR | |
| Physical Therapist | 225100000X | PT020170 | OH | |
| Physical Therapist | 225100000X | CP039794T | CO | Primary |
Addresses
Primary practice location
4555 Liberty Rd S Ste 400
Salem, OR 97302-5091
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
375 E Horsetooth Rd Bldg 4
Fort Collins, CO 80525-3155
Phone (303) 940-0757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4555 Liberty Rd S
Suite 400
Salem, OR 97302-5091
Phone (503) 485-1666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP039794T | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Past | Accepting new patients |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Past | Accepting new patients |
| MVP Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400
13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080
Organizations & group practices 7
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.
-
- Physical Therapist
- Burien, WA
- NPI 1477797991
-
- Physical Therapist
- Grants Pass, OR
- NPI 1801257191
-
- Physical Therapist
- Bonney Lake, WA
- NPI 1255147336
-
- Physical Therapist
- Roseburg, OR
- NPI 1427524388
-
- Physical Therapist
- Gresham, OR
- NPI 1861950891
-
- Physical Therapist
- Commerce City, CO
- NPI 1326473141
-
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1003412446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 LIBERTY RD S STE 400",
"city": "SALEM",
"state": "OR",
"postal_code": "973025091",
"telephone_number": "503-485-1666"
}
],
"practiceLocations": [
{
"address_1": "375 E Horsetooth Rd Bldg 4",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805253155",
"country_code": "US",
"telephone_number": "303-940-0757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DONNELL",
"first_name": "KEVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "CP058712T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020170",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP039794T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.