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

Kyle R Heise, DPT

Individual provider Physical Therapist · NPI 1629214036

Kyle R Heise, DPT is a Physical Therapist in Private Practice in Renton, Washington. Qualified in 2008, 18 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2009
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17800 Talbot Rd S Ste D
Renton, WA 98055-5740
Phone: (425) 277-9096
Fax: (425) 277-1206
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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 PT60045957 (WA)

Record details

NPI number1629214036
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESOctober 30, 2015
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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