Susan Madeleine Larson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11521 Issued in CO

Practice address

1601 E 19TH Ave
Suite 5500 N2PT
Denver, CO 80218-1216

Phone

(720) 402-3801

NPI assigned

Dec 1, 2011

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 names 1

• Dr. Susan Madeleine Vodder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coal Creek Diagnostics, LLC

  • Diagnostic Ultrasound Physician
  • Louisville, CO
  • NPI 1366941171
  NPD (past)
• Coal Creek Physical Therapy, LLC

  • Physical Therapist
  • Louisville, CO
  • NPI 1740238120
  NPD (past)
• Nishimoto and Neujahr Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1477831394

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1437427754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 FERN ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201036",
            "telephone_number": "303-601-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 5500 N2PT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "720-402-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "SUSAN",
        "middle_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "VODDER",
            "middle_name": "MADELEINE",
            "prefix": "DR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Elizabeth Larson, MA, LPCC
• Maureen Kathleen Larson, MFTC
• Melissa Larson, MD
• Sasha Larson, BA
• Sierra Kamryn Larson, CLINICAL LMSW
• Candace Marie Lartigue, NP APN
• Laura M Lasater, MD
• Shayna Lashansky, M.A.
• Gillian Taylor Lashen, PSY.D.
• Daniel Lasher

• Physical Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.