Active NPI
David Ray Kaeppel, PT, DPT
- Physical Therapist
- Salem, OR
National Provider Identifier
1215458377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3121227
- Practice address
- 1025 2ND St NW
Salem, OR 97304-4001 - Phone
- (503) 371-0779
- NPI assigned
- Jun 29, 2017
- Last updated
- Sep 4, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3121227 | TX | Primary |
Addresses
Primary practice location
1025 2ND St NW
Salem, OR 97304-4001
Mailing address
1167 Merlin CT NW
Salem, OR 97304-3444
Phone (972) 420-6605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3121227 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1215458377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 MERLIN CT NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043444",
"telephone_number": "972-420-6605",
"fax_number": "972-436-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 2ND ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044001",
"telephone_number": "503-371-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAEPPEL",
"first_name": "DAVID",
"middle_name": "RAY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3121227",
"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 Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.