Antoinette Marie Larson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000915 Issued in MO

Practice address

384 Chateaugay LN
Chesterfield, MO 63017-2849

Phone

(314) 485-1180

Fax

(314) 485-1160

NPI assigned

Feb 17, 2007

Last updated

Jul 21, 2022By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powderly and Associates Incorporated

  • Local Education Agency (LEA)
  • Warrenton, MO
  • NPI 1639218951
  NPD (past)
• Powderly and Associates, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Eureka, MO
  • NPI 1477697209
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235273780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 CHATEAUGAY LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172849",
            "telephone_number": "314-485-1180",
            "fax_number": "314-485-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 CHATEAUGAY LN",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172849",
            "telephone_number": "314-485-1180",
            "fax_number": "314-485-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 Lewis Bluff Cir",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630251638",
            "country_code": "US",
            "telephone_number": "636-938-7044",
            "fax_number": "636-938-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ANTOINETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "000915",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "000915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473528941",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cinnamon Langford, O.D.
• Debra A Lantzy, OTR/L
• Paul George Lapoint, M.D.
• Rolando A Larice, MD
• Larry E Burrell, DC, LLC
• Gabrielle Joann Larson
• Rebecca Lasater, MSW, LCSW
• Laser & Dermatologic Surgery Center, Inc.
• Tracy Lashbrook, RPH
• Demeshia Laniece Lathon, SLP

• Occupational Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.