Active NPI
Evan Kepner, PT, DPT
- Physical Therapist
- Lebanon, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65755
- Practice address
- 1195 S Main St
Lebanon, OR 97355-3217 - Phone
- (541) 401-6500
- NPI assigned
- Jun 17, 2025
- 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 | 65755 | OR | Primary |
Addresses
Primary practice location
1195 S Main St
Lebanon, OR 97355-3217
Mailing address
9806 SW Whitford LN
Beaverton, OR 97008-6520
Phone (503) 807-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MD, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1153 State Route 3 N
Suite 35
Gambrills, MD 21054-1737
Phone 4102162200443292
1195 S Main St
Lebanon, OR 97355-3217
Phone (650) 235-0545
15500 Annapolis Rd
Suite 102
Bowie, MD 20715-3039
Phone (443) 481-1140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65755 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lebanon Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1195 S Main St
Lebanon, OR 97355
Phone (541) 401-6500
Organizations & group practices 3
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
- Lebanon, OR
- NPI 1598539017
-
- Physical Therapy Clinic/Center
- Annapolis, MD
- NPI 1396122842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1720974504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9806 SW WHITFORD LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970086520",
"telephone_number": "503-807-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 S MAIN ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553217",
"telephone_number": "541-401-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPNER",
"first_name": "EVAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.