DAVIS MCKAY LARSEN – Physical Therapist, NPI 1154213189

DAVIS MCKAY LARSEN is a healthcare provider. based in Hillsboro, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 65766 (OR). The NPI Number for DAVIS MCKAY LARSEN is 1154213189

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DAVIS MCKAY LARSEN
NPI
1154213189
Phone
Not provided
Address
3374 SE HAMMOCK LN
Enumeration Date
15 July 2025
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5036155969
Graduation Year
2025 (1 year ago)
PAC ID
7012409352
Group Practice PAC ID
7214116839
Professional Enrollment ID
I20251124002404
Address ID
OR971245114HI4950XCTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for DAVIS MCKAY LARSEN

  • 3374 SE HAMMOCK LN

    HILLSBORO, OR 971235425

    Phone:

    Type: Mailing

  • 4950 NE BELKNAP CT STE 107

    HILLSBORO, OR 971245114

    Phone: (503) 615-5969

    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: 2025-11-24

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
I20251124002404IPhysical Therapist In Private PracticeORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97123)

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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: 7214116839View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to DAVIS MCKAY LARSEN?
NPI 1154213189 is assigned to DAVIS MCKAY LARSEN under the national enumeration system.
Is DAVIS MCKAY LARSEN active in the national directory?
DAVIS MCKAY LARSEN's public NPI profile is in an active state.
What does DAVIS MCKAY LARSEN treat or focus on?
Patients typically see DAVIS MCKAY LARSEN under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place DAVIS MCKAY LARSEN?
The snapshot lists Hillsboro, Oregon for DAVIS MCKAY LARSEN; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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