Kevin Blaine Bingham, PTA

Physical Therapy Assistant · Sublimity, OR

Individual Active NPI

NPI number 1679078331

Practice location

390 SE Church St
Sublimity, OR 97385-9714
Phone
(801) 550-5329

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NPI record

NPI
1679078331
Entity type
Individual (Type 1)
Enumeration date
March 26, 2018
Last updated
March 26, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 09469 OR
Physical Therapy Assistant 225200000X 8177960-2402 UT

Mailing address

1036 Limelight Ave NW
Salem, OR 97304-3427
Phone
(801) 550-5329

About Kevin Bingham

Kevin Blaine Bingham, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 390 SE Church St, Sublimity, OR 97385-9714. The NPI number 1679078331 was assigned on March 26, 2018 and the record was last updated on March 26, 2018.

Kevin Bingham lists 2 licenses in the registry: #09469 (OR) for Physical Therapy Assistant; #8177960-2402 (UT) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Blaine Bingham, PTA?

The NPI number is 1679078331.

What is the phone number of Kevin Bingham?

The phone number listed for the practice location is (801) 550-5329.

Where is Kevin Bingham located?

390 SE Church St, Sublimity, OR 97385-9714.

What is the taxonomy code for Kevin Bingham?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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