Colton Larson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305196 Issued in CA

Practice address

29803 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-3609

Phone

(949) 459-9010

Fax

(949) 459-9020

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rancho Santa Margarita Physical Therapy Sports Medicine Inc.Group PAC ID 2567360605, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rancho Santa Margarita Physical Therapy Sports Medicine Inc

  • Physical Therapy Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1477653525
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1326813536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29803 SANTA MARGARITA PKWY",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883609",
            "telephone_number": "949-459-9010",
            "fax_number": "949-459-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29803 SANTA MARGARITA PKWY",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883609",
            "telephone_number": "949-459-9010",
            "fax_number": "949-459-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "COLTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olita Lace, DPT
• Allyson Lynn Lake, COUNSELOR
• Dylan Louis Lander, OTR/L
• Jean Elizabeth Langmore, PH.D.
• Amir Larijani, D.D.S
• Linda Jean Larson
• Natalie Chung Lavinder, OD
• Andrew Wonjoo Lee, D.D.S.
• Kevin Kwonki Lee, DDS
• Mido Lee, R.D.H. A.P

• Physical Therapist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.