Elise Keyanna Larry

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1114 Eastchester Dr
High Point, NC 27265-3114

Phone

(336) 802-1007

NPI assigned

Jun 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1023902889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 MILTON ST APT 1K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033800",
            "telephone_number": "916-949-8516",
            "fax_number": "916-949-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 EASTCHESTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653114",
            "telephone_number": "336-802-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRY",
        "first_name": "ELISE",
        "middle_name": "KEYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamboy and Rubio, DDS, PA
• Lane and Associates Xxxviii DDS PA
• Amanda R Langkopp
• Karen E Lanier, DDS MS
• Kevin N Largen, M.D.
• Cheyenne Alicia Lashmit, PHYSICIAN ASSISTANT
• Jared Daniel Latham, PA-C
• Melanie Lawson, LCAS
• Michelle L. Lawson, HSP-PA
• Kristy Beal Le, MD

• Behavior Technician in High Point, NC
• Providers in High Point, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.