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

Kevin Destephano, PT

Individual provider Physical Therapist · NPI 1780495093

Kevin Destephano, PT is a Physical Therapist in Private Practice in Saint Marys, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Drayer Physical Therapy Institute LLC, a 217-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

812 S Saint Marys St
Saint Marys, PA 15857-2831
Phone: (814) 258-6008
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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 PT023561 (PA)

Record details

NPI number1780495093
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Drayer Physical Therapy Institute Llc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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