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

Michael Larson

Individual provider Physical Therapist · NPI 1760337976

Michael Larson is a Physical Therapist in Private Practice in Portage, Wisconsin. Qualified in 2025, 1 year ago. Practices with New Life Physical Therapy and Sports Medicine Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2026
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Practice location Address checks out

2639 New Pinery Rd Ste 2
Portage, WI 53901-1175
Phone: (608) 742-9356
Fax: (608) 742-9358
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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 17625-24 (WI)

Record details

NPI number1760337976
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address2639 New Pinery Rd Ste 2, Portage, WI 53901-1175

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice New Life Physical Therapy And Sports Medicine Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portage