Active NPI
Vilma Larson
- Physical Therapy Assistant
- Stafford, TX
National Provider Identifier
1225057201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 12250 Kirkwood
Stafford, TX 77477 - Phone
- (713) 922-9542
- Fax
- (281) 242-6948
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
12250 Kirkwood
Stafford, TX 77477
Mailing address
PO Box 2391
Stafford, TX 77497-2391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LIC # 2038206 | Other | TX | PHYSICAL THERAPIST ASSIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225057201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2391",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774972391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12250 KIRKWOOD",
"city": "STAFFORD",
"state": "TX",
"postal_code": "77477",
"telephone_number": "713-922-9542",
"fax_number": "281-242-6948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "VILMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST ASSIST",
"identifier": "LIC # 2038206",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.