Individual provider Active NPI

Amanda Larson, DPT, PT

  • Physical Therapist
  • Rock Springs, WY
National Provider Identifier
1275914913
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1574 Issued in WY
Practice address
1977 Dewar Dr Ste J
Rock Springs, WY 82901-5757
Phone
(307) 382-3228
Fax
(307) 382-6886
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1574 WY Primary

Addresses

Primary practice location

1977 Dewar Dr Ste J
Rock Springs, WY 82901-5757

Mailing address

1977 Dewar Dr Ste J
Rock Springs, WY 82901-5757

Other practice location 1

920 Upland Way
Green River, WY 82935-6064
Phone (307) 875-1847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911002054 WY Practitioner - Physical Therapist in Private Practice 9436466117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Utah School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Physical Therapy Limited PartnershipGroup PAC ID 0547150500, 2 clinicians

Practice addresses (Care Compare)

920 Upland Way
Green River, WY 82935-6064
Phone (307) 875-1847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1574WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
In Motion Physical Therapy LLC Physical Therapist CurrentSince Oct 11, 2019 Accepting new patients
Inner Strength Physical Therapy Current Accepting new patients

Locations

920 Upland Way
Green River, WY 82935
Phone (307) 875-1847

501 Center St
Rock Springs, WY 82901
Phone (307) 382-8661

1208 Hilltop Dr
Ste 104
Rock Springs, WY 82901

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1275914913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 DEWAR DR STE J",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 DEWAR DR STE J",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015757",
            "telephone_number": "307-382-3228",
            "fax_number": "307-382-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Upland Way",
            "address_purpose": "LOCATION",
            "city": "Green River",
            "state": "WY",
            "postal_code": "829356064",
            "country_code": "US",
            "telephone_number": "307-875-1847",
            "fax_number": "307-875-4269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "AMANDA",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.