Individual provider Active NPI

Danielle N Larson, PTA

  • Physical Therapy Assistant
  • Spokane, WA
National Provider Identifier
1346122272
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P161047544 Issued in WA
Practice address
3010 S Southeast Blvd Ste G
Spokane, WA 99223-3542
Phone
(509) 532-0500
Fax
(509) 532-8810
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P161047544 WA Primary

Addresses

Primary practice location

3010 S Southeast Blvd Ste G
Spokane, WA 99223-3542

Mailing address

3010 S Southeast Blvd Ste G
Spokane, WA 99223-3542
Phone (509) 532-0500

Other identifiers 1

IdentifierTypeStateIssuer
P161047544OtherWAWA DOH 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P161047544WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Larry Ham and Associates Physical Therapy PS CurrentSince Jul 28, 2025 Accepting new patients

Locations

3010 S Southeast Blvd
Ste G
Spokane, WA 99223
Phone (509) 532-0500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1346122272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 S SOUTHEAST BLVD STE G",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233542",
            "telephone_number": "509-532-0500",
            "fax_number": "509-532-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 S SOUTHEAST BLVD STE G",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233542",
            "telephone_number": "509-532-0500",
            "fax_number": "509-532-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DANIELLE",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P161047544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DOH LICENSE",
            "identifier": "P161047544",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.