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

Tyler J. Larson, DPT

Individual provider Physical Therapist · NPI 1346626652

Tyler J. Larson, DPT is a Physical Therapist in Private Practice in Idaho Falls, Idaho. Qualified in 2015, 11 years ago. Practices with Three Rivers Physical Therapy Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
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

3155 Channing Way Ste D
Idaho Falls, ID 83404-7534
Phone: (208) 552-2700
Fax: (208) 552-1533
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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 PT-4158 (ID)

Record details

NPI number1346626652
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESAugust 31, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Three Rivers Physical Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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