Individual provider Active NPI

Thomas Larsson, DPT

  • Physical Therapist
  • Waukee, IA
National Provider Identifier
1033522099
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31599 Issued in FL
Practice address
205 NE Dartmoor Dr
Waukee, IA 50263-9616
Phone
(515) 987-6267
NPI assigned
Jun 7, 2014
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 31599 FL Primary

Addresses

Primary practice location

205 NE Dartmoor Dr
Waukee, IA 50263-9616

Mailing address

2615 Centennial Blvd
Ste 101
Tallahassee, FL 32308-0589
Phone (850) 656-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170515000191 FL Practitioner - Physical Therapist in Private Practice 6800173113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Orthopedic and Sports Physical Therapy P aGroup PAC ID 7810069127, 24 clinicians

Practice addresses (Care Compare)

2615 Centennial Blvd
Suite 101
Tallahasse, FL 32308-0589
Phone (850) 656-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31599FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic and Sports Physical Therapy P a Physical Therapist CurrentSince Aug 3, 2016 Accepting new patients
Absolute Performance Therapy, PC Physical Therapist Past Accepting new patients

Locations

2615 Centennial Blvd
Ste 101
Tallahassee, FL 32308

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1033522099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 CENTENNIAL BLVD",
            "address_2": "STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080589",
            "telephone_number": "850-656-1837",
            "fax_number": "850-877-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NE DARTMOOR DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639616",
            "telephone_number": "515-987-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSSON",
        "first_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-07",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.