Pamela Terrill Larson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400000988 Issued in VT

Practice address

5 Albert Cree Dr
Vermont Sports Medicine Center
Rutland, VT 05701

Phone

(802) 775-1300

Fax

(802) 773-9300

NPI assigned

Jul 29, 2006

Last updated

Nov 12, 2010By 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 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Vermont Sports Medicine Center

  • Prosthetic/Orthotic Supplier
  • Rutland, VT
  • NPI 1689832594
  NPD (past)
• Vermont Sports Medicine Center

  • Occupational Therapist
  • Rutland, VT
  • NPI 1730103300

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1386659688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALBERT CREE DR",
            "address_2": "VERMONT SPORTS MEDICINE CENTER",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-775-1300",
            "fax_number": "802-773-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALBERT CREE DR",
            "address_2": "VERMONT SPORTS MEDICINE CENTER",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-775-1300",
            "fax_number": "802-773-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "PAMELA",
        "middle_name": "TERRILL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400000988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2169",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00009577",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4416927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "43428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Laplaca, CRNA
• Philip Lapp, MD
• Stacey D Lariviere
• Brooke Larmie, ANP
• Andrea Larson, PA-C
• Lauren Ann Lasante, LMHC, LADC
• Michael Joseph Laubach, R.PH.
• Laurie Anne Coombs Inc.
• Michael Edward Lawrie, PMHNP
• Keri Layton, N.D

• Physical Therapist in Rutland, VT
• Providers in Rutland, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.