NPIMap

Individual provider Active NPI

Larry John Nosse, PT

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1326110859
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1246 Issued in WI
Practice address
2345 N 114TH St
Wauwatosa, WI 53226-1225
Phone
(414) 453-0135
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1246 WI Primary
Physical Therapist 225100000X PT2467 CA

Addresses

Primary practice location

2345 N 114TH St
Wauwatosa, WI 53226-1225

Mailing address

2345 N 114TH St
Wauwatosa, WI 53226-1225
Phone (414) 453-0135

Other names 1

  • Prof. Lawrence John Nosse Professional name

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

LicenseStateTypeSpecialty
PT2467CAMDPhysical Therapist
1246WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
LJN Therapy, SC Physical Therapist Past Accepting new patients
Motion Physical Therapy, LLC Physical Therapist Past Accepting new patients
In- Home Rehab Southeastern Physical Therapist Past Accepting new patients

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326110859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N 114TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261225",
            "telephone_number": "414-453-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 N 114TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261225",
            "telephone_number": "414-453-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSSE",
        "first_name": "LARRY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1246",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT2467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "NOSSE",
            "middle_name": "JOHN",
            "prefix": "PROF.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.