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

Mr. Kyle Coggins, PT

Individual provider Physical Therapist · NPI 1427106715

Mr. Kyle Coggins, PT is a Physical Therapist in Private Practice in Santa Rosa, California. Qualified in 2005, 21 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
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

432 Aviation Blvd
Santa Rosa, CA 95403-1069
Phone: (707) 546-5622
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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 32646 (CA)

Record details

NPI number1427106715
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address84 Leisure Park Cir, Santa Rosa, CA 95401-5885

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated

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