Active NPI
Teresa Kay Larsen, D.O.
- Physical Medicine & Rehabilitation Physician
- Solon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 34-007383
- Practice address
- 5325 Som Center Rd
Solon, OH 44139-1459 - Phone
- (440) 785-5278
- Fax
- (440) 394-8132
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 34-007383 | OH | Primary |
Addresses
Primary practice location
5325 Som Center Rd
Solon, OH 44139-1459
Mailing address
5325 Som Center Rd
Solon, OH 44139-1459
Phone (440) 785-5278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000523573 | Other | ANTHEM PIN | |
| 2283818 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Ohio University, College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5325 Som Ctr Rd
Solon, OH 44139-1459
Phone (440) 785-5278
Hospital & facility affiliations
- Southwest General Health Center
- Southwest General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-007383 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System Inc | Current | Accepting new patients | |
| Mercy Professional Care, LLC | Current | Accepting new patients | |
| Lake Hospital System, Inc. | Current | Accepting new patients | |
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Northcoast Medical Group LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Southwest General Health Center | Past | Accepting new patients | |
| Western Reserve Rehab Group, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
155 5th St NE
Fl 6
Barberton, OH 44203
Phone (330) 869-9596
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
7337 Caritas Cir NW
Ste 280
Massillon, OH 44646
Phone (330) 458-4180
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
5105 Som Center Rd
Ste 202
Willoughby, OH 44094
Phone (440) 953-5760
Interoperability endpoints
- tlarsen243022@ehrdirect.uhhospitals.org
Organizations & group practices 7
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.
-
- Physical Medicine & Rehabilitation Physician
- Solon, OH
- NPI 1992059380
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
-
- Internal Medicine Physician
- Canton, OH
- NPI 1902827876
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Family Medicine Physician
- Euclid, OH
- NPI 1366721763
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
-
- Physical Medicine & Rehabilitation Physician
- Lorain, OH
- NPI 1306957188
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
-
- Rehabilitation Hospital Unit
- Middleburg HTS, OH
- NPI 1235326851
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1457467003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 SOM CENTER RD",
"city": "SOLON",
"state": "OH",
"postal_code": "441391459",
"telephone_number": "440-785-5278",
"fax_number": "440-394-8132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 SOM CENTER RD",
"city": "SOLON",
"state": "OH",
"postal_code": "441391459",
"telephone_number": "440-785-5278",
"fax_number": "440-394-8132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "TERESA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "34-007383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000523573",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2283818",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.