Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Braiden Kingsford, DPT

Individual provider Physical Therapist · NPI 1376096875

Dr. Braiden Kingsford, DPT is a Physical Therapist in Private Practice in Liberty Lake, Washington. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
10
Licensed in
ID, WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

21651 E Country Vista Dr
Liberty Lake, WA 99019-7708
Phone: (509) 598-9402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60645217 (WA)
Physical Therapist Taxonomy 225100000X · Licence PT5553 (ID)

Record details

NPI number1376096875
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 1, 2016
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing addressPo Box 72, Liberty Lake, WA 99019-0072

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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