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

Kyle Anthony Larson, DPT

Individual provider Physical Therapist · NPI 1245853175

Kyle Anthony Larson, DPT is a Physical Therapist in Private Practice in Clear Lake, Wisconsin. Qualified in 2020, 6 years ago. Practices with Clear Lake Physical Therapy and Rehab Specialists LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

417 3rd Ave
Clear Lake, WI 54005-8905
Phone: (715) 263-4103
Fax: (715) 263-4110
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14996-24 (WI)

Record details

NPI number1245853175
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020
Mailing addressPo Box 147, Clear Lake, WI 54005-0147

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Clear Lake Physical Therapy And Rehab Specialists Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clear Lake