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

Kevin Paulson

Individual provider Physical Therapy Assistant · NPI 1457108839

Kevin Paulson is a Physical Therapist in Private Practice in Kennewick, Washington. Qualified in 2024, 2 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1408 N Louisiana St Ste 104A
Kennewick, WA 99336-7167
Phone: (509) 783-1962
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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

Record details

NPI number1457108839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address16083 Sw Upper Boones Ferry Rd Ste 300, Portland, OR 97224-7736

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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