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BRANDON LARSON PTA
NPI 1639648082
Physical Therapist - Geriatrics in Spring Green, WI

Active since November 15, 2018
501 S WINSTED ST, SPRING GREEN, WI 53588(608) 588-0208 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandon Larson Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON LARSON PTA (NPI 1639648082) is an individual geriatrics provider in Spring Green, Wisconsin, licensed in Wisconsin (2795-19) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1639648082
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameBRANDON LARSONCredential: PTA
Location Address501 S WINSTED STSpring Green, WI 53588-9435
Mailing Address4603 County Road FBlue Mounds, WI 53517-9606 · (608) 963-3401
Phone(608) 588-0208
Sole ProprietorYes
Enumeration DateNovember 15, 2018
✔ NPI 1639648082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in WI · 2795-19
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
501 S WINSTED ST, Spring Green, WI 53588
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHLOE L ROONEY
Physical Therapy Assistant
501 S WINSTED ST
SPRING GREEN, WI 53588
Sauk County (608) 588-2586
AEGIS THERAPIES, INC.
Occupational Therapist
501 S WINSTED ST
SPRING GREEN, WI 53588
Sauk County (800) 781-1007
BROOKLYNN MIKKEL BENZINE
Occupational Therapy Assistant
501 S WINSTED ST
SPRING GREEN, WI 53588
Sauk County (608) 588-2586
RIVER VALLEY NURSING HOME, INC
Skilled Nursing Facility
501 S WINSTED ST
SPRING GREEN, WI 53588
Sauk County (608) 588-2586

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Larson's NPI number?

The NPI number for Brandon Larson is 1639648082. It was assigned to this individual provider in the NPPES registry on November 15, 2018.

Where is Brandon Larson located?

Brandon Larson practices at 501 S Winsted St, Spring Green, WI 53588. The listed phone number is (608) 588-0208.

What is Brandon Larson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Brandon Larson was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.