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

Individual provider Physical Therapist · NPI 1568037380

Kerry Pine, PT, DPT is a Physical Therapist in Private Practice in Salem, Oregon. Qualified in 2021, 5 years ago. Practices with Pelvic Wellness Center of Salem, a 7-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2021
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

3220 Liberty Rd S
Salem, OR 97302-4560
Phone: (503) 371-0779
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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 64074 (OR)

Record details

NPI number1568037380
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address3220 Liberty Rd S, Salem, OR 97302-4560

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pelvic Wellness Center Of Salem — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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