KINDRA MARIE MCDOUGALL (DPT) – Physical Therapist, NPI 1205327905

KINDRA MARIE MCDOUGALL (DPT) is a healthcare provider. based in Corvallis, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 63211 (OR). The NPI Number for KINDRA MARIE MCDOUGALL (DPT) is 1205327905

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KINDRA MARIE MCDOUGALL (DPT)
NPI
1205327905
Phone
(541) 753-4246
Address
2635 NW ROLLING GREEN DR
Enumeration Date
29 May 2018
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604561444
Graduation Year
2018 (8 years ago)
PAC ID
0840545596
Group Practice PAC ID
1052403896
Professional Enrollment ID
I20180620001908
Address ID
WA985164754LA1445XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for KINDRA MARIE MCDOUGALL (DPT)

  • 2635 NW ROLLING GREEN DR

    CORVALLIS, OR 973303519

    Phone: (541) 753-4246

    Fax: (541) 753-4256

    Type: Mailing

  • Tumwater Boulevard, Tumwater, Thurston County, Washington, 98512-7363, United States

    TUMWATER, WA 985016422

    Phone: (360) 528-3300

    Fax: (360) 489-0040

    Type: Mailing

  • 6th Avenue Southeast, Lacey, Thurston County, Washington, 98516-5364, United States

    LACEY, WA 985031065

    Phone: (360) 455-4448

    Fax: (360) 455-9833

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180620001908IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes96534$0
97140Therapy procedure using manual technique, each 15 minutes39025$0
97530Therapy procedure using functional activities9921$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9317$0
97162Evaluation for physical therapy, typically 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052403896View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-AZ
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Medicine And RehabilitationWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What is KINDRA MARIE MCDOUGALL (DPT)'s NPI number?
KINDRA MARIE MCDOUGALL (DPT)'s NPI is 1205327905 — the number used across U.S. healthcare to identify this provider.
Would KINDRA MARIE MCDOUGALL (DPT) appear as active to a payer?
You can treat KINDRA MARIE MCDOUGALL (DPT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KINDRA MARIE MCDOUGALL (DPT)?
KINDRA MARIE MCDOUGALL (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KINDRA MARIE MCDOUGALL (DPT)?
Travel planning: use Corvallis, Oregon as the reference point for KINDRA MARIE MCDOUGALL (DPT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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