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

Mr. Lars Edward Kellow, DPT

Individual provider Physical Therapist · NPI 1063647444

Mr. Lars Edward Kellow, DPT is a Physical Therapist in Private Practice in Beaverton, Oregon. Qualified in 2008, 18 years ago. Practices with Benchmark Physical Therapy of Oregon LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
18
Licensed in
OR
In the registry since
2009
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11850 SW Allen Blvd
Beaverton, OR 97005-4805
Phone: (503) 646-7164
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5879 (OR)

Record details

NPI number1063647444
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 28, 2009
Last updated in NPPESMay 28, 2009
Mailing address9316 Sw Coral St, Tigard, OR 97223-6663

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Benchmark Physical Therapy Of Oregon Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beaverton