Active NPI
Brynne Larson
- Recreation Therapist
- South Salt Lake, UT
National Provider Identifier
1245154806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 88905
- Practice address
- 433 E 2700 S
South Salt Lake, UT 84115-3325 - Phone
- (801) 487-2248
- NPI assigned
- Aug 6, 2026
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 88905 | UT | Primary |
Addresses
Primary practice location
433 E 2700 S
South Salt Lake, UT 84115-3325
Mailing address
2268 W Harker Farm LN
Taylorsville, UT 84129-5412
Phone (479) 389-6838
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": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1245154806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2268 W HARKER FARM LN",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841295412",
"telephone_number": "479-389-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 E 2700 S",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153325",
"telephone_number": "801-487-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "BRYNNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "UT",
"license": "88905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.