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

Kevin M Pust, PT

Individual provider Physical Therapist · NPI 1831578400

Kevin M Pust, PT is a Physical Therapist in Private Practice in Oregon City, Oregon. Qualified in 2015, 11 years ago. Practices with New Proactive LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
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

1630 Beavercreek Rd Ste A
Oregon City, OR 97045-4156
Phone: (503) 489-6250
Fax: (503) 489-1650
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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 61068 (OR)

Record details

NPI number1831578400
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 28, 2015
Last updated in NPPESMay 28, 2015
Mailing address1480 Ne Village St, Fairview, OR 97024-3827

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New Proactive Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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