Kenton Dell Kirby, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60360 Issued in OR

Practice address

2519 Cove Ave
La Grande, OR 97850

Phone

(541) 962-0830

Fax

(541) 975-2720

NPI assigned

Oct 4, 2010

Reactivated

Nov 28, 2018

Last updated

Aug 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Valley Therapy, IncGroup PAC ID 9537053079, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Valley Therapy, Inc

  • Physical Therapist
  • La Grande, OR
  • NPI 1659353035
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1134438419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-962-0830",
            "fax_number": "541-975-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-962-0830",
            "fax_number": "541-975-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KENTON",
        "middle_name": "DELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "deactivation_date": "2011-12-21",
        "reactivation_date": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1064",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell A. Kilpatrick, DMD
• Kim R. Montee, M.D., P.C.
• Samuel Heber Kimball, OD
• Kindred Counseling Incorporated
• Kimberly Dayon Kinkito
• Daniel Kirkham, M.D.
• Kade Kirschner
• Jacqui Kleeman, FNP
• Sheridan D Klinger, CRNA
• Dawn C Knight, M.D.

• Physical Therapist in La Grande, OR
• Providers in La Grande, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.