Kyle M Bidgood, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6429 Issued in OR

Practice address

675 Orchard Heights Rd NW Ste 150
Salem, OR 97304-3041

Phone

(503) 391-5542

NPI assigned

Mar 11, 2011

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

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 and National Provider Directory roles.

• Physical Therapy Northwest Limited Partnership

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

  Physical Therapist

  NPD (past)
• PT Northwest LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1417934886
  NPD (past)

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1497053680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12686",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973090686",
            "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": "675 ORCHARD HEIGHTS RD NW STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043041",
            "telephone_number": "503-391-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 36th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014741",
            "country_code": "US",
            "telephone_number": "503-371-8860",
            "fax_number": "503-371-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDGOOD",
        "first_name": "KYLE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Berith Bickel, LCSW
• Hannah Bickel, BEHAVIOR TECHNICIAN
• Monique Lisa Irene Bickle, LMT
• Corey James Bickler, DMD
• Nicole Marie Biddlecome, LMT
• Jordan A Biehle, ARNP, FNP-C
• Myra Anne Bielby, RDH
• Amanda Bietz, DPT
• Vicki Marie Bigelow
• Graham Christian Biles

• 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 4, 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.