Charysse Larson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13048 Issued in AZ

Practice address

5605 W Eugie Ave
Glendale, AZ 85304-1272

Phone

(602) 865-2534

NPI assigned

Jan 23, 2018

Last updated

Jan 23, 2018By 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 2

Addresses

Other names 1

• Rysse Larson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1427556554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 E ROSEMONTE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850242463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041272",
            "telephone_number": "602-865-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHARYSSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13048",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYSSE",
            "last_name": "LARSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sofia Elizabeth Larreabetz
• Larry L Griffith MD PC
• Byron Larsen, DDS
• Emily Jackson Larsen
• Carol Ann Larson, MC
• Gabrielle Larson
• Jay C Larson, DPM
• McKenna Larson
• Michael Arthur Larson, PTA
• Ross Larson, DO

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.