Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Larson, PT, DPT, MS, CMI

Individual provider Physical Therapist · NPI 1851944078

Andrew Larson, PT, DPT, MS, CMI is a Physical Therapist in Private Practice in Columbus, Wisconsin. Qualified in 2016, 10 years ago. Practices with Prairie Ridge Health Inc, a 68-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1515 Park Ave
Columbus, WI 53925-2402
Phone: (920) 623-2200
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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 13415-24 (WI)

Record details

NPI number1851944078
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MS , CMI
Sole proprietorNo
NPI enumeratedJuly 17, 2019
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

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)
Group practice Prairie Ridge Health Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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