Eric William Kerstetter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

64203 Issued in OR

Practice address

947 Geary St SE
Albany, OR 97322-4904

Phone

(541) 704-7770

Fax

(541) 704-7773

NPI assigned

Apr 24, 2023

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)

Enrolled

State licenses

Practice roles

Locations

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.

• San Juan Physical Therapy, Inc.

  • Physical Therapist
  • Friday Harbor, WA
  • NPI 1043521206
  NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1770270233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 NE NEHALEM AVE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973219032",
            "telephone_number": "570-417-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224904",
            "telephone_number": "541-704-7770",
            "fax_number": "541-704-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTETTER",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Townsend Kennedy, M.D.
• Gabriel M Kennedy, DMD
• Courtney Joy Kennison, CPNP-PC
• Ronald Kerlee
• Kevin C Kern
• Suzanne Kesterson, M.A., CCC-SLP
• Vallery A. Kesterson, BC-HIS
• Amie Lu Keys, FNP
• Susan Khalsa-Wyborski
• Jason Kihlstadius

• Physical Therapist in Albany, OR
• Providers in Albany, 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 24, 2023; 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.