Active NPI
Robin Larsen
- Hand Occupational Therapist
- Grandview, MO
National Provider Identifier
1306955109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 2000175713
- Practice address
- 12121 Blue Ridge Ext # I
Grandview, MO 64030-6401 - Phone
- (816) 761-8088
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 2000175713 | MO | Primary |
Addresses
Primary practice location
12121 Blue Ridge Ext # I
Grandview, MO 64030-6401
Mailing address
11410 W 106TH St
Overland Park, KS 66214-2622
Phone (913) 894-5187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000175713 | Other | MO | LICENSE # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000175713 | MO | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Cape Girardeau, MO
- NPI 1316907884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1306955109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11410 W 106TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662142622",
"telephone_number": "913-894-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 BLUE RIDGE EXT # I",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640306401",
"telephone_number": "816-761-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ROBIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MO",
"license": "2000175713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "2000175713",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, MO
- David Jeffrey Kricsfeld, D.O., MBA
- Francis Leroy Labeaf Jr., AS-C
- Lafayette Physical Therapy & Rehabilitation Services Inc
- Janet I Lancaster, RNC,WHNP,APN
- Israel Daniel Large, MD
- Ronda Renee Latimore, RN
- Jennifer Lawrence, PT
- Kristi S Lepak, FNP-C
- Molly J Lewandowski, MD
- Life Quest Ministry Inc (Life Quest Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.