Larisa A Weczorek, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60161057 Issued in WA

Practice address

8750 Greenwood Ave N, S-1
Seattle, WA 98103

Phone

(206) 782-5789

Fax

(206) 782-5794

NPI assigned

Aug 27, 2010

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 names 1

• Larisa Kroshkin Former name

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.

• Greenwood Physical Therapy PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1982786596
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1225344286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 GREENWOOD AVE N, S-1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "206-782-5789",
            "fax_number": "206-782-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 GREENWOOD AVE N, S-1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "206-782-5789",
            "fax_number": "206-782-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECZOREK",
        "first_name": "LARISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60161057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISA",
            "last_name": "KROSHKIN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wayne Webster, MD
• Eric Rudolph Wechselberger, D.C.
• Mary E. Wechsler, ARNP
• Debra G Wechter, MD
• Weconnect Health Management SPC
• Alisa Rose Wedemeyer, MED, LMHCA
• Kathleen M Weden, OTR/L
• Patrick James Wedgeworth, MD
• Wedgwood Family Dentistry
• Wedgwood Smiles

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.