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

Kevin Blaine Bingham, PTA

Individual provider Physical Therapy Assistant · NPI 1679078331

Kevin Blaine Bingham, PTA is a Physical Therapy Assistant in Sublimity, Oregon. Practices as a sole proprietor. Licensed in Oregon and Utah.

Licensed in
OR, UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

390 SE Church St
Sublimity, OR 97385-9714
Phone: (801) 550-5329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 09469 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence 8177960-2402 (UT)

Record details

NPI number1679078331
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 26, 2018
Last updated in NPPESMarch 26, 2018

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