Larson Rehab, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1160910 Issued in TX

Legal business name

LARSON REHAB, PLLC

Practice address

4208 Santa Olivia
Mission, TX 78572-8636

Phone

(956) 563-9762

Fax

(956) 271-4317

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Sarah Marie Larson, PTNPI 1922230556

Title

Owner/Admin

Phone

(956) 563-9762

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Larson

  • Physical Therapist
  • Mission, TX
  • NPI 1922230556
  NPD (past) Authorized official

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1083991483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 SANTA OLIVIA",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728636",
            "telephone_number": "956-563-9762",
            "fax_number": "956-271-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 SANTA OLIVIA",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785728636",
            "telephone_number": "956-563-9762",
            "fax_number": "956-271-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "956-563-9762",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1160910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206798502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ladies R in Motion LLC
• Rizalina Tatoy Lagas, FNP-C
• Cynthia M Landa, RMT
• Iliana Marisol Landeros, M.ED., LPC
• Olga Yuryevna Langley, MD
• Sarah Larson
• Lay Hands Massage Therapy, LLC (Laying Hands Massage Therapy)
• Bella L Leal-Garza, MA CCC SLP
• Blanca Isela Leal, SLP
• Richard M. M. Lee

• Physical Therapist in Mission, TX
• Providers in Mission, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.