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

Individual provider Physical Therapist · NPI 1629035050

Mr. Lars Mitchell, MPTOCSCSCS is a Physical Therapist in Private Practice in Kingsley, Michigan. Qualified in 2000, 26 years ago. Practices with Kingsley Physical Therapy PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

409 W Main St
Kingsley, MI 49649-9481
Phone: (231) 263-1001
Fax: (231) 263-1002
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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 5501010646 (MI)

Record details

NPI number1629035050
Entity typeIndividual (Type 1)
GenderMale
Credentials MPTOCSCSCS
Sole proprietorYes
NPI enumeratedApril 28, 2006
Last updated in NPPESApril 2, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Kingsley Physical Therapy Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsley