Larsen Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0321 Issued in LA

Legal business name

LARSEN PHYSICAL THERAPY, INC.

Practice address

1717 Irving PL
Shreveport, LA 71101-4605

Phone

(318) 425-5604

Fax

(318) 222-8165

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry N Larsen, P.T.NPI 1497740088

Title

President

Phone

(318) 425-5604

Specialties & licenses 1

Addresses

Locations

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.

• Larry Nels Larsen, P.T., A.T.C., S.T.S.

  • Physical Therapist
  • Shreveport, LA
  • NPI 1497740088
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043336365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 IRVING PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014605",
            "telephone_number": "318-425-5604",
            "fax_number": "318-222-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 IRVING PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014605",
            "telephone_number": "318-425-5604",
            "fax_number": "318-222-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-425-5604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "0321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Laroe, LPN
• Bessie Larry
• Jarvis Decarleonne Larry
• Melvin Lars
• Yolanda Lars
• Larry Nels Larsen, P.T., A.T.C., S.T.S.
• Andrew W Larson, MD
• Bradly Kendall Larson, O.D.
• Amanda Gail Lary, PHARM.D.
• Addison Ruth Lasater, PA-C

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.