Active NPI
Kelvin Chang, DPT
- Physical Therapist
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65890
- Practice address
- 16849 SW 65TH Ave
Lake Oswego, OR 97035-7865 - Phone
- (503) 598-8603
- NPI assigned
- Nov 24, 2025
- Last updated
- Nov 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 65890 | OR | Primary |
Addresses
Primary practice location
16849 SW 65TH Ave
Lake Oswego, OR 97035-7865
Mailing address
17659 SW Falling Leaf CT
Beaverton, OR 97003-7558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1110 16TH St
Oregon City, OR 97045-1417
16849 SW 65TH Ave
Lake Oswego, OR 97035-7865
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65890 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopstown Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Ultra Physical Therapy & Hand Center II LLC | Physical Therapist | Current | Accepting new patients |
Locations
3786 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 626-6587
16849 SW 65th Ave
Lake Oswego, OR 97035
Phone (503) 598-8603
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Beaverton, OR
- NPI 1447841697
Physical Therapist
-
- Physical Therapy Clinic/Center
- Lake Oswego, OR
- NPI 1679218317
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1720949225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17659 SW FALLING LEAF CT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970037558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16849 SW 65TH AVE",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357865",
"telephone_number": "503-598-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "KELVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.