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

Lars Petersen, PT, DPT

Individual provider Physical Therapist · NPI 1558779777

Lars Petersen, PT, DPT is a Physical Therapist in Private Practice in Woodbury, Minnesota. Qualified in 2014, 12 years ago. Practices with Therapy Partners Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
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.

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Practice location Address checks out

257 Rivertown Dr
Woodbury, MN 55125-7726
Phone: (651) 528-6461
Fax: (651) 528-6349
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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 9742 (MN)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1558779777
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

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 Therapy Partners Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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