Marco Nelson Larson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-033894 Issued in AZ

Practice address

1075 S Idaho Rd Ste 210
Apache Junction, AZ 85119-6405

Phone

(480) 983-0877

Fax

(480) 983-3172

NPI assigned

Apr 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, AZ, ND3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Continuum Wellness Clinic LLC

  • Physical Therapist
  • Apache Junction, AZ
  • NPI 1972684132
  Medicare reassignment NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  Medicare reassignment NPD
• McKenzie County Healthcare Systems Inc

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1396516506
  Medicare reassignment NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1457389595
  Medicare reassignment NPD
• Continuum Wellness Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Chandler, AZ
  • NPI 1982968087
  NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1073224267
  NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1699405050
  NPD
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Roanoke, VA
  • NPI 1437664356
  NPD

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1376248740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD STE 210",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196405",
            "telephone_number": "480-983-0877",
            "fax_number": "480-983-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MARCO",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26653",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berjana Laforest
• Yin Lai, PHARMD
• Aaron Daniel Lambson, O.D.
• Claire R. Lansing, M.S.W.
• Shari Lapera
• Susan Yap Lassiter, LPC
• Tyrza Lavetter, COTA
• Conrad M Lawrence, MD
• Morse Paul Lawrence, P.A.-C
• Laws of Mindful Healing

• Physical Therapist in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.