Erik Lee Larson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11879-24 Issued in WI

Practice address

314 Service Rd
Spooner, WI 54801

Phone

(715) 635-2518

Fax

(866) 245-8064

NPI assigned

Sep 3, 2012

Last updated

Jul 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spooner Physical Therapy and Wellness IncGroup PAC ID 0840558581, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spooner Physical Therapy & Wellness Inc

  • Physical Therapist
  • Spooner, WI
  • NPI 1093226011
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532736000000",
    "number": "1013266394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 SERVICE RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548016200",
            "telephone_number": "715-635-2518",
            "fax_number": "715-635-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SERVICE RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "54801",
            "telephone_number": "715-635-2518",
            "fax_number": "866-245-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10342 Dyno Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548436150",
            "country_code": "US",
            "telephone_number": "715-699-1371",
            "fax_number": "715-699-1374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ERIK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-03",
        "last_updated": "2018-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11879-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "11879",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Anne Kuehlman, DO
• Bruce L. Laird, R.PH.
• Lakeview Medical Center Inc of Rice Lake
• Larson Chiropractic Office Inc
• Danielle Nicole Larson, M.A. CCC-SLP
• Randy Obert Larson, DC
• Vicki L Larson, NCTMB
• Lyle L Lauritsen, D.C.
• Robert Lindberg, RN
• Jessica Marker

• Physical Therapist in Spooner, WI
• Providers in Spooner, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.