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

Kendell Eakle, DPT

Individual provider Physical Therapist · NPI 1396588604

Kendell Eakle, DPT is a Physical Therapist in Private Practice in Angwin, California. Graduated from Tufts University School of Medicine in 2023, 3 years ago. Practices with Stac Physical Therapy Sonoma Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

315 Pine Breeze Dr
Angwin, CA 94508-9620
Phone: (317) 522-8871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 305676 (CA)

Record details

NPI number1396588604
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 14, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address315 Pine Breeze Dr, Angwin, CA 94508-9620

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Stac Physical Therapy Sonoma Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount