Individual provider Active NPI

Eric Kendall, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Tualatin, OR
National Provider Identifier
1801389143
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5501018672 Issued in MI
Practice address
19185 SW 90TH Ave
Tualatin, OR 97062-7558
Phone
(800) 813-2000
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5501018672 MI Primary

Addresses

Primary practice location

19185 SW 90TH Ave
Tualatin, OR 97062-7558

Mailing address

6832 SE Reedway St
Portland, OR 97206-5379
Phone (269) 818-7359

Other practice location 1

9028 N. Rodgers Dr
Suite J
Caledonia, MI 49316
Phone (616) 891-0600

Other practice location 2

2707 171st Pl NE Ste 101
Marysville, WA 98271-4740
Phone (360) 386-7401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WA, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180705001527 MI Practitioner - Physical Therapist in Private Practice 9830445832 Reassigns benefits to 2 organizations
I20230316001341 WA Practitioner - Physical Therapist in Private Practice 9830445832 Reassigns benefits to 2 organizations
I20240124001825 OR Practitioner - Physical Therapist in Private Practice 9830445832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians

Practice addresses (Care Compare)

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

19185 SW 90TH Ave
Tualatin, OR 97062-7558
Phone (800) 813-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgetown Physical Therapy and Training Studio, PC CurrentSince Jul 1, 2024 Accepting new patients
Integrated Rehabilitation Group, PC CurrentSince Mar 6, 2023 Accepting new patients
Hulst Jepsen Physical Therapy Inc CurrentSince May 17, 2021 Accepting new patients
Benchmark Physical Therapy of Oregon LLC CurrentSince Jan 2, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 9, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Ryan and Monica Wohlfert, PC CurrentSince Jun 12, 2018 Accepting new patients
Manor Care of Salmon Creek Wa, Association CurrentSince Sep 9, 2024 Accepting new patients
Integrated Rehabilitation Group, PC CurrentSince Mar 6, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 9, 2024 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Current Accepting new patients
Peak Performance Physical Therapy, PLC CurrentSince Jun 12, 2018 Accepting new patients
Benchmark Physical Therapy of Or, LLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

9028 N Rodgers Ct SE
Ste J
Caledonia, MI 49316
Phone (616) 890-0600

2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

1800 NW Upshur St
Ste 150
Portland, OR 97209
Phone (503) 719-5318

1500 SW 1st Ave
Ste 150
Portland, OR 97201
Phone (503) 222-1955

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

19185 SW 90th Ave
Tualatin, OR 97062
Phone (503) 723-6699

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

2707 171st Pl NE
Ste 101
Marysville, WA 98271
Phone (360) 386-7401

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1801389143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 SE REEDWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065379",
            "telephone_number": "269-818-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19185 SW 90TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627558",
            "telephone_number": "800-813-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9028 N. Rodgers Dr",
            "address_2": "Suite J",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "49316",
            "country_code": "US",
            "telephone_number": "616-891-0600",
            "fax_number": "517-853-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2707 171st Pl NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714740",
            "country_code": "US",
            "telephone_number": "360-386-7401",
            "fax_number": "360-386-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "ERIC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501018672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.

Verify at the official NPI Registry.