Peter D Larson, DPT | |
146 Lake St N, Forest Lake, MN 55025-2518 | |
(651) 464-8502 | |
(651) 464-8547 |
Full Name | Peter D Larson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 146 Lake St N, Forest Lake, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619225166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9134 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tria Orthopaedic Center Llc | 3173570561 | 362 |
Provider Name | Tria Orthopaedic Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
---|---|
Peter D Larson, DPT 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Peter D Larson, DPT 146 Lake St N, Forest Lake, MN 55025-2518 Ph: (651) 464-8502 |
Charles Schwiesow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-464-8502 | |
Hunter N Huberty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 146 Lake St N Ste 200, Forest Lake, MN 55025 Phone: 651-275-4706 Fax: 651-464-8547 | |
John Altnow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1467 Lake St S Ste 300, Forest Lake, MN 55025 Phone: 651-241-3840 | |
Rebecca Varoga, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-275-4706 Fax: 651-464-8547 | |
Lindsey Carr, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1467 Lake St S Ste 300, Forest Lake, MN 55025 Phone: 651-241-3840 | |
Janet Darlene Olson, PT, OTR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-464-8502 | |
Curtis R Hennen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Forest Lake, MN 55025 Phone: 651-982-1504 |