Individual provider Active NPI

Scott Mitchell Larson, PT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1407938616
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02074 Issued in LA
Practice address
16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567
Phone
(225) 756-2722
Fax
(225) 756-4431
NPI assigned
Oct 19, 2006
Last updated
May 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02074 LA Primary

Addresses

Primary practice location

16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567

Mailing address

16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567
Phone (225) 756-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000801 LA Practitioner - Physical Therapist in Private Practice 4880625227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downtown Physical Therapy and Industrial Center LLCGroup PAC ID 0244329274, 5 clinicians

Practice addresses (Care Compare)

16645 Highland Rd
Suite L
Baton Rouge, LA 70810-6567
Phone (225) 756-2722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02074LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Industrial Center of Baton Rouge Physical Therapist CurrentSince Oct 11, 2020 Accepting new patients
Downtown Physical Therapy and Industrial Center LLC Physical Therapist CurrentSince Oct 17, 2007 Accepting new patients
Dutchtown Physical Therapy Physical Therapist CurrentSince Sep 26, 2007 Accepting new patients
Downtown Physical Rehabilitation Physical Therapist CurrentSince Apr 15, 2014 Accepting new patients

Locations

160 N 8th St
Baton Rouge, LA 70802
Phone (225) 383-5021

16645 Highland Rd
Ste L
Baton Rouge, LA 70810
Phone (225) 753-5011

13053 Highway 73
#B
Geismar, LA 70734
Phone (225) 744-3631

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1407938616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 HIGHLAND RD",
            "address_2": "SUITE L",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106567",
            "telephone_number": "225-756-2722",
            "fax_number": "225-756-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16645 HIGHLAND RD",
            "address_2": "SUITE L",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106567",
            "telephone_number": "225-756-2722",
            "fax_number": "225-756-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "SCOTT",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.