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

Kyle Green, PT

Individual provider Physical Therapist · NPI 1588918114

Kyle Green, PT is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2012, 14 years ago. Practices with Good Health Medical Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4876 NW Bethany Blvd Ste L-1
Portland, OR 97229-9259
Phone: (503) 466-2254
Fax: (503) 466-1143
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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 60040 (OR)

Record details

NPI number1588918114
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 5, 2012
Last updated in NPPESAugust 18, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Good Health Medical Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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