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

Mrs. Kelly L. Domeyer, PT

Individual provider Physical Therapist · NPI 1487638276

Mrs. Kelly L. Domeyer, PT is a Physical Therapist in Private Practice in Salem, Oregon. Qualified in 1983, 43 years ago. Practices with Northwest Rehabilitation Associates Inc, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
43
Licensed in
OR
In the registry since
2005
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

3270 Liberty Rd S
Salem, OR 97302
Phone: (503) 371-0779
Fax: (503) 371-0886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2521 Boone Rd Se Ste 100, Salem, OR 97306-9391 — (503) 585-5131

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1342 (OR)

Record details

NPI number1487638276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Northwest Rehabilitation Associates Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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