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

Kevin Ridad

Individual provider Physical Therapist · NPI 1629658893

Kevin Ridad is a 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
Mailing address3336 Lexington Dr, Tyler, TX 75701-6636

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

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