Active NPI
Tara Lynn Larson, MS OTR/L
- Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1356972392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-002217
- Practice address
- 1425 W Elliot Rd Ste 203
Gilbert, AZ 85233-5142 - Phone
- (480) 265-6325
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-002217 | AZ | Primary |
Addresses
Primary practice location
1425 W Elliot Rd Ste 203
Gilbert, AZ 85233-5142
Mailing address
3717 E Camden Ave
San Tan Valley, AZ 85140-6786
Phone (623) 695-5896
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-002217 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1356972392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 E CAMDEN AVE",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851406786",
"telephone_number": "623-695-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W ELLIOT RD STE 203",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335142",
"telephone_number": "480-265-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "TARA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-002217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.