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

Kaylan Taylor Stayton, PT, DPT

Individual provider Physical Therapist · NPI 1629837638

Kaylan Taylor Stayton, PT, DPT is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with Broadway Physical Therapy and Sports Rehab LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3016 NE Broadway St
Portland, OR 97232-1811
Phone: (503) 287-6636
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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 15540 (TN)

Record details

NPI number1629837638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Broadway Physical Therapy And Sports Rehab Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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