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

Alyssa Sue Larson

Individual provider Occupational Therapist · NPI 1144170150

Alyssa Sue Larson is an Occupational Therapist in Private Practice in Liberty Lake, Washington. Qualified in 2025, 1 year ago. Practices with Lake City Physical Therapy P A, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2026

Practice location Address checks out

21651 E Country Vista Dr
Liberty Lake, WA 99019-7708
Phone: (208) 966-4176
Show map & directions

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

Additional practice locations (1)

  • 3009 S Grand Blvd, Spokane, WA 99203-2559 — (208) 966-4176

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT70086610 (WA)

Record details

NPI number1144170150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing addressPo Box 1180, Hayden, ID 83835-1180

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lake City Physical Therapy P A — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Liberty Lake