Davis McKay Larsen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65766 Issued in OR

Practice address

4950 NE Belknap CT Ste 107
Hillsboro, OR 97124-5114

Phone

(503) 615-5969

NPI assigned

Jul 15, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Pacific University - College of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kab Physical Therapy LLCGroup PAC ID 7214116839, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kab Physical Therapy LLC

  dba Impact Physical Therapy of Hillsboro

  • Physical Therapist
  • Hillsboro, OR
  • NPI 1447568183
  Medicare reassignment Care Compare group NPD
• Impact Physical Therapy, LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1083655260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1154213189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3374 SE HAMMOCK LN",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT STE 107",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245114",
            "telephone_number": "503-615-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "DAVIS",
        "middle_name": "MCKAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Alfonso Lara, L.M.T
• Gerardo Lara
• Jasmine Lara
• Lester Clayton Laraway, DDS
• Julie Larkin, MA, NCC
• Hannah Larsen
• Alexandra Larson
• Curtis J Larson, MD
• Michelle Larson
• Nicci Larson

• Physical Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.