Susan Larsen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6963 Issued in MA

Practice address

350 Lincoln St
Suite 104
Hingham, MA 02043-1578

Phone

(781) 740-4900

Fax

(781) 740-4930

NPI assigned

May 21, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hingham Physical Therapy IncGroup PAC ID 7214907294, 9 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 and National Provider Directory roles.

• Hingham Physical Therapy, Inc.

  • Specialist
  • Hingham, MA
  • NPI 1366414211

  MA, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154539161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST",
            "address_2": "SUITE 104",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431578",
            "telephone_number": "781-740-4900",
            "fax_number": "781-740-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LINCOLN ST",
            "address_2": "SUITE 104",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431578",
            "telephone_number": "781-740-4900",
            "fax_number": "781-740-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9719041",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurtus Dafford , PPLC
• Lina Penikas Lamb, P.T.
• Ashleigh L Lancaster
• Olivia Lanna, M.D.
• Lara Cogliano Thompson
• Kristopher Nils Larson
• Dasia Lynn Larusso, P.T.
• Courtney Lawcewicz
• Janesse Lazera
• Laura Marie Leary, PSGT

• All providers in Hingham, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.