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

Kevin Thomas White, MPT

Individual provider Orthopedic Physical Therapist · NPI 1245310549

Kevin Thomas White, MPT is a Physical Therapist in Private Practice in Petaluma, California. Qualified in 1992, 34 years ago. Practices with Koda Physical Therapy and Sports Performance, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Licensed in
CA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

169 Lynch Creek Way
Petaluma, CA 94954-2344
Phone: (707) 763-0115
Fax: (707) 763-2130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT18789 (CA)

Record details

NPI number1245310549
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Koda Physical Therapy And Sports Performance — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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