Jeffrey S Kundert, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3832 Issued in OR

Practice address

2521 Boone Rd SE # 100
Salem, OR 97306-9391

Phone

(503) 585-5131

Fax

(503) 585-4065

NPI assigned

Jan 5, 2006

Last updated

Apr 5, 2018By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Physical Therapy Northwest Limited Partnership

  • Rehabilitation Clinic/Center
  • Stayton, OR
  • NPI 1255843355

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1447238837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014741",
            "telephone_number": "503-540-8701",
            "fax_number": "503-371-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 BOONE RD SE # 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069391",
            "telephone_number": "503-585-5131",
            "fax_number": "503-585-4065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 36th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97301",
            "country_code": "US",
            "telephone_number": "503-371-8860",
            "fax_number": "503-371-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNDERT",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182898",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Mae Kugach, CADC
• Jade Kuhl, AU.D.
• Steven John Kuhn, MS
• Rachel Christine Kumler, MSN, PMHNP-BC
• Connie Lynn Kumm, B.S., QMHP
• Emilee A Kuntz
• Maria Kunz
• Tammy Kunz
• Pio Y Kuor, QMHP
• Sandra Kurup, MD

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.