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

Dr. Ian Michael Larson, PT, DPT

Individual provider Geriatric Physical Therapist · NPI 1467831073

Dr. Ian Michael Larson, PT, DPT is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2015
Specialties on file
3
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.

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Practice location Address checks out

4025 E Chandler Blvd Ste 60
Phoenix, AZ 85048-8833
Phone: (480) 417-5271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15640 N 7th St Ste 6, Phoenix, AZ 85022-3538 — (602) 439-3800

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 11525 (AZ)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 11525 (AZ)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence 11525 (AZ)

Record details

NPI number1467831073
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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