Latasha Larson, OT

Primary specialty

Environmental Modification Occupational TherapistTaxonomy code 225XE0001X

License

103693 Issued in MN

Practice address

19120 Mystique Dr
Corcoran, MN 55340-9586

Phone

(320) 293-3205

NPI assigned

Sep 21, 2021

Last updated

Jan 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Adaptify Home Safety Solutions LLC

  • Occupational Therapist
  • Corcoran, MN
  • NPI 1881319093
  Medicare reassignment NPD Authorized official
• Fox Rehabilitation Services MN LLC

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1356802862

  Occupational Therapist

  Medicare reassignment NPD
• Staffrehab

  • Skilled Nursing Facility
  • Newport Beach, CA
  • NPI 1588942882
  Authorized official Same address or phone

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1346911351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19120 MYSTIQUE DR",
            "city": "CORCORAN",
            "state": "MN",
            "postal_code": "553409586",
            "telephone_number": "320-293-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19120 MYSTIQUE DR",
            "city": "CORCORAN",
            "state": "MN",
            "postal_code": "553409586",
            "telephone_number": "320-293-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LATASHA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103693",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MN",
            "license": "103693",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MN",
            "license": "103693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corcoran Hamel Chiropractic , P.a.
• Sarah Rowan Eisenreich, MSN, APRN, FNP-BC
• Integrated Rd Care
• Amy B Johnson, MSW, LICSW
• Christopher Johnson
• Kim Rose Nelson
• Prime Recovery LLC
• Saint Therese of Corcoran, LLC
• James Peter Seim, DC, DACBN
• Suite Living Senior Care of Corcoran

• Occupational Therapist in Corcoran, MN
• Providers in Corcoran, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.