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

Kotrybet B Keodouangdy, MPT

Individual provider Physical Therapist · NPI 1043195936

Kotrybet B Keodouangdy, MPT is a Physical Therapist in Private Practice in Montgomery, Alabama. Qualified in 2025, 1 year ago. Licensed in Alabama.

Years since qualifying
1
Licensed in
AL
In the registry since
2025
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1636 Mulberry St
Montgomery, AL 36106-1522
Phone: (334) 365-3199
Fax: (334) 265-3189
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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 PTH12535 (AL)

Record details

NPI number1043195936
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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