ANDREW III LARSON (PT) – Physical Therapist, NPI 1558430488

ANDREW III LARSON (PT) is a healthcare provider. based in Roscoe, Illinois. specializing in Physical Therapist. They hold the professional credentials PT. The NPI Number for ANDREW III LARSON (PT) is 1558430488

Main info

Male
Name
ANDREW III LARSON (PT)
NPI
1558430488
Phone
(815) 623-9930
Address
4675 BLUESTEM RD
Enumeration Date
7 November 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for ANDREW III LARSON (PT)

  • 4675, Bluestem Road, Roscoe, Winnebago County, Illinois, 61073, United States

    ROSCOE, IL 610737788

    Phone: (815) 623-9930

    Fax: (815) 623-9931

    Type: Location

  • 2905, Ware Road, Rockford, Rockford Township, Winnebago County, Illinois, 61114, United States

    ROCKFORD, IL 611146592

    Phone: (815) 229-1412

    Fax: (815) 623-9931

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61073)

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Reviews

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Frequently asked questions

Is there an official ID for ANDREW III LARSON (PT) in U.S. healthcare records?
The official identifier for ANDREW III LARSON (PT) is NPI 1558430488.
Is ANDREW III LARSON (PT) shown as active in public data?
Registry records indicate ANDREW III LARSON (PT) maintains an active NPI.
How would a patient describe ANDREW III LARSON (PT)'s focus?
For ANDREW III LARSON (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ANDREW III LARSON (PT) located near Roscoe?
ANDREW III LARSON (PT) currently maps to Roscoe, Illinois in this extract.
When was this NPI issued?
Enumeration for ANDREW III LARSON (PT) is noted as November 7, 2006 where the registry provides it.

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