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

Peter D Larson, DPT

Individual provider Physical Therapist · NPI 1619225166

Peter D Larson, DPT is a Physical Therapist in Private Practice in Forest Lake, Minnesota. Qualified in 2012, 14 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
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

146 Lake St N
Forest Lake, MN 55025-2518
Phone: (651) 464-8502
Fax: (651) 464-8547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 146 Lake St N, Forest Lake, MN 55025-2518 — (651) 464-8502
  • 155 Radio Dr, Woodbury, MN 55125-2619 — (952) 831-8742

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9134 (MN)

Record details

NPI number1619225166
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2012
Last updated in NPPESJune 22, 2018
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forest Lake