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

Mark Laraway, DPT

Individual provider Physical Therapist · NPI 1548713357

Mark Laraway, DPT is a Physical Therapist in Private Practice in Breckenridge, Minnesota. Qualified in 2016, 10 years ago. Practices with Total Balance Physical Therapy and Fitness, LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Minnesota and Nebraska.

Years since qualifying
10
Licensed in
MN, NE
In the registry since
2016
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

430 5th St N
Breckenridge, MN 56520-1426
Phone: (218) 641-7725
Fax: (218) 641-6625
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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 10615 (MN)
Physical Therapist Taxonomy 225100000X · Licence 3626 (NE)

Record details

NPI number1548713357
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 28, 2016
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing address430 5th St N, Breckenridge, MN 56520-1426

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Total Balance Physical Therapy And Fitness, Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Breckenridge