Dena Larsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60095067 Issued in WA

Practice address

451 SW Sedgwick Rd
Ste. 310
Port Orchard, WA 98367-6447

Phone

(360) 874-8009

Fax

(360) 874-8010

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Teri Jo Lientz DPT MPT Atc PLLC

  • Physical Therapy Clinic/Center
  • Bremerton, WA
  • NPI 1184145328
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1225267206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 AUTO CENTER WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983124308",
            "telephone_number": "360-627-7768",
            "fax_number": "360-627-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW SEDGWICK RD",
            "address_2": "STE. 310",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676447",
            "telephone_number": "360-874-8009",
            "fax_number": "360-874-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "DENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60095067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERIM PERMIT",
            "identifier": "PU60095046",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doddie A Lagervall, CP60310560
• Brenna Lamere, RN
• Sharyn Lane
• Amber Marie Lapolla, PTA
• Anita L Larae, LMHC
• Mallory Larson-Burns
• Jessica Lee Larson, CCC-SLP
• Gerard V Lasalle, MD
• Jensen Lau, RPH
• Crystal R Laub, LMP

• Physical Therapist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.