Individual provider Active NPI

Teresa Kay Larsen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Solon, OH
National Provider Identifier
1457467003
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
34-007383 Issued in OH
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

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000523573OtherANTHEM PIN
2283818MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000161 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6800811068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
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 Hospital, Middleburg Heights, OH, CCN 360155
  • Southwest General Hospital Inpatient rehabilitation facility, Middleburg Heights, OH, CCN 36T155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-007383OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Current Accepting new patients
Mercy Professional Care, LLC CurrentSince Mar 22, 2019 Accepting new patients
Lake Hospital System, Inc. CurrentSince May 1, 2019 Accepting new patients
Lake Hospital System, Inc CurrentSince May 1, 2019 Accepting new patients
Northcoast Medical Group LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.