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

Mr. Lars Mitchell, MPTOCSCSCS

Individual provider Physical Therapist · NPI 1629035050

Mr. Lars Mitchell, MPTOCSCSCS is a Physical Therapist in Private Practice in Kingsley, Michigan. Qualified in 2000, 26 years ago. Practices with Kingsley Physical Therapy PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

409 W Main St
Kingsley, MI 49649-9481
Phone: (231) 263-1001
Fax: (231) 263-1002
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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 5501010646 (MI)

Record details

NPI number1629035050
Entity typeIndividual (Type 1)
GenderMale
Credentials MPTOCSCSCS
Sole proprietorYes
NPI enumeratedApril 28, 2006
Last updated in NPPESApril 2, 2008
Mailing address409 W Main St, Kingsley, MI 49649-9481

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Kingsley Physical Therapy Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsley