Active NPI
Amanda Larson, DPT, PT
- Physical Therapist
- Rock Springs, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1574
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1574 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| In Motion Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Green River, WY
- NPI 1134167547
-
- Physical Therapist
- Rock Springs, WY
- NPI 1386170959
-
- Physical Therapy Clinic/Center
- Rock Springs, WY
- NPI 1093562332
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.