Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kevin Ridad

Individual provider Physical Therapist · NPI 1629658893

Kevin Ridad is registered under Physical Therapist in Private Practice in Tyler, Texas. Qualified in 2018, 8 years ago. Practices with Obach Physical Therapy Clinic LLC, a 3-clinician group.

Years since qualifying
8
In the registry since
2021
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Practice location Address checks out

4882 Hightech Dr
Tyler, TX 75703-2613
Phone: (903) 300-0234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1629658893
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Obach Physical Therapy Clinic Llc — 3 clinicians
Accepts Medicare assignment Not indicated

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients177
Services billed 9,919 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Obach Physical Therapy Clinic LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Tyler