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

Kevin Allen Jarvis, DPT

Individual provider Physical Therapist · NPI 1306392147

Kevin Allen Jarvis, DPT is a Physical Therapist in Private Practice in Lake Oswego, Oregon. Qualified in 2016, 10 years ago. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17550 Provost St Ste 201A
Lake Oswego, OR 97034-5220
Phone: (503) 872-2441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 61807 (OR)

Record details

NPI number1306392147
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 24, 2025
Certification dateAugust 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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