John David Large, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18876 Issued in NC

Practice address

90 E Main St Ste a
Sylva, NC 28779-3030

Phone

(828) 550-3923

Fax

(828) 354-0209

NPI assigned

Jun 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Range Physical Therapy and Wellness PLLCGroup PAC ID 2668866427, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Range Physical Therapy & Wellness PLLC

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1932850021

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Custom Nutrition & Wellness LLC

  • Registered Dietitian
  • Cullowhee, NC
  • NPI 1538768577
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1306405378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST STE A",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST STE A",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Maxwell Lancaster Jr., LPC
• Holbert C Lang II, DDS,PA
• Jill Deanne Langley, CPNP-PC
• Sydney Lankford, PT, DPT
• Donald C Larcher, DDS
• Steven James Lashbrooks
• Laurin J Cardwell D.D.S PLLC
• Toni Nicole Lawler, LCSW
• John Jake Lawrence
• Michael Joshua Lawrence, MD

• Physical Therapist in Sylva, NC
• Providers in Sylva, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.