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

Corey M Larson, PT, DPT, ATC, CSCS

Individual provider Physical Therapist · NPI 1336689363

Corey M Larson, PT, DPT, ATC, CSCS is a Physical Therapist in Private Practice in Woodbury, Minnesota. Qualified in 2021, 5 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
5
Licensed in
MN, WI
In the registry since
2017
Specialties on file
2
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4040 Radio Dr
Woodbury, MN 55129-3237
Phone: (651) 439-8804
Fax: (651) 439-0232
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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 13257 (MN)
Physical Therapist Taxonomy 225100000X · Licence 15631-24 (WI)

Record details

NPI number1336689363
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC , CSCS
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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