Active NPI
Asia Kay Larsen
- Occupational Therapist
- Stockton, CA
National Provider Identifier
1215677497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25793
- Practice address
- 525 W Acacia St
Stockton, CA 95203-2405 - Phone
- (209) 944-5550
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 25793 | CA | Primary |
| Occupational Therapy Assistant | 224Z00000X | 18-01577 | KS | |
| Occupational Therapist | 225X00000X | OT24576 | FL |
Addresses
Primary practice location
525 W Acacia St
Stockton, CA 95203-2405
Mailing address
10141 SW Florida Rd
Colony, KS 66015-9251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-01577 | KS | MD | Occupational Therapy Assistant |
| OT24576 | FL | MD | Occupational Therapist |
| 25793 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1215677497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10141 SW FLORIDA RD",
"city": "COLONY",
"state": "KS",
"postal_code": "660159251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W ACACIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952032405",
"telephone_number": "209-944-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ASIA",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "25793",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "18-01577",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT24576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.