MR. ANDREW WILLIAM LARSON PT
NPI 1922109057
Physical Therapist in New Prague, MN

Active since September 25, 2006
1400 1ST ST NE, NEW PRAGUE, MN 56071(952) 758-2535 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Andrew William Larson Pt NPPES

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

MR. ANDREW WILLIAM LARSON PT (NPI 1922109057) is an individual physical therapist in New Prague, Minnesota, licensed in Minnesota (6759) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1922109057
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. ANDREW WILLIAM LARSONCredential: PT
Location Address1400 1ST ST NENew Prague, MN 56071-2215
Mailing Address848 Ramsey AveCarver, MN 55315-4515
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 17, 2008
✔ NPI 1922109057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 6759
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1400 1ST ST NE, New Prague, MN 56071

Other Identifiers 1

Other14N46LAMN · Mn Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Andrew William Larson Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Andrew Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
8100 NORTHLAND DR
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 693 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Family Medicine
1400 1ST ST NE
NEW PRAGUE, MN 56071
Family Medicine (Geriatric Medicine)
1400 1ST ST NE
NEW PRAGUE, MN 56071
Family Medicine
1400 1ST ST NE
NEW PRAGUE, MN 56071
Family Medicine
1400 1ST ST NE
NEW PRAGUE, MN 56071
Family Medicine (Geriatric Medicine)
1400 1ST ST NE
NEW PRAGUE, MN 56071
Physical Therapist
1400 1ST ST NE
NEW PRAGUE, MN 56071
Family Medicine
1400 1ST ST NE
NEW PRAGUE, MN 56071
Family Medicine
1400 1ST ST NE
NEW PRAGUE, MN 56071

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 Andrew Larson's NPI number?

The NPI number for Andrew Larson is 1922109057. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Andrew Larson located?

Andrew Larson practices at 1400 1st St NE, New Prague, MN 56071. The listed phone number is (952) 758-2535.

What is Andrew Larson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Andrew Larson enrolled in Medicare?

Yes. Andrew Larson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Larson reassigns Medicare benefits to Tria Orthopaedic Center LLC (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Larson was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.