Active NPI
Roger L Larson RPT PC
- Physical Therapist
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 105692-2401
- 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
- Last updated
- Feb 5, 2009
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
6040 S Fashion Blvd
Ste 200
Murray, UT 84107
Phone (801) 266-7534
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Murray, UT
- NPI 1699759357
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.