Susan M Larsen

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

AH-2146 Issued in MA

Practice address

389 County St
New Bedford, MA 02740-4995

Phone

(508) 997-1570

NPI assigned

Dec 31, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kennedy Donovan

  • Early Intervention Provider Agency
  • New Bedford, MA
  • NPI 1134303266
  NPD (past)
• Kennedy Donovan Center

  • Early Intervention Provider Agency
  • New Bedford, MA
  • NPI 1144404021
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1174708952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST",
            "city": "ACUSHNET",
            "state": "MA",
            "postal_code": "027431006",
            "telephone_number": "508-763-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404995",
            "telephone_number": "508-997-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "AH-2146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Larkin
• Michelle Anne Laroche, LICSW
• Crystal Rochelle Larrabee, OTR/L
• Dawn Larrivee
• Courtney Larsen
• Latino Counseling Services, Inc.
• Latino Counseling, Inc.
• Ana Carolina Ternes Laus, MD
• Lauran Lynn Lavigne
• Barbara Lawrence

• Pediatric Physical Therapist in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Pediatric Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.