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

Andrew Larson III, PT

Individual provider Physical Therapist · NPI 1558430488

Andrew Larson III, PT is a Physical Therapist in Roscoe, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4675 Bluestem Rd
Roscoe, IL 61073-7788
Phone: (815) 623-9930
Fax: (815) 623-9931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1558430488
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2905 Ware Rd, Rockford, IL 61114-6592

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