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

Larry Jordan Larsen, PTDPT

Individual provider Physical Therapist · NPI 1295474948

Larry Jordan Larsen, PTDPT is a Physical Therapist in Private Practice in Medford, Oregon. Qualified in 2022, 4 years ago. Practices with Alevia Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
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Practice location Address checks out

1345 Center Dr Ste 100
Medford, OR 97501-7945
Phone: (541) 210-5674
Fax: (541) 210-5674
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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 64546 (OR)

Record details

NPI number1295474948
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alevia Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford