Organization Active NPI

Roger L Larson RPT PC

  • Physical Therapist
  • Murray, UT
National Provider Identifier
1003060906
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
105692-2401 Issued in UT
Legal business name
ROGER L LARSON RPT PC
Practice address
6040 Fashion Blvd
Ste. #200
Murray, UT 84107-5417
Phone
(801) 266-7534
Fax
(801) 266-7547
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roger L Larson, P.T.
Title
President/Owner
Phone
(801) 266-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 105692-2401 UT Primary

Addresses

Primary practice location

6040 Fashion Blvd
Ste. #200
Murray, UT 84107-5417

Mailing address

6040 Fashion Blvd
Ste. #200
Murray, UT 84107-5417
Phone (801) 266-7534

National Provider Directory

National Provider Directory

Locations

6040 S Fashion Blvd
Ste 200
Murray, UT 84107
Phone (801) 266-7534

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1003060906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 FASHION BLVD",
            "address_2": "STE. #200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075417",
            "telephone_number": "801-266-7534",
            "fax_number": "801-266-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 FASHION BLVD",
            "address_2": "STE. #200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075417",
            "telephone_number": "801-266-7534",
            "fax_number": "801-266-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L LARSON RPT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-266-7534",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "105692-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.