Active NPI
Kassaundra Eva Larson, PTA
- Physical Therapy Assistant
- Richland, WA
National Provider Identifier
1477353316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- P161267978
- Practice address
- 299 Bradley Blvd Ste 101
Richland, WA 99352-4691 - Phone
- (509) 713-7555
- Fax
- (509) 783-6151
- NPI assigned
- Mar 18, 2025
- 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 Therapy Assistant | 225200000X | P161267978 | WA | Primary |
Addresses
Primary practice location
299 Bradley Blvd Ste 101
Richland, WA 99352-4691
Mailing address
2839 W Kennewick Ave # 550
Kennewick, WA 99336-2927
Phone (509) 783-8977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P161267978 | WA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Health Care PLLC | Current | Accepting new patients |
Locations
2839 W Kennewick Ave
Kennewick, WA 99336
Phone (509) 783-8977
299 Bradley Blvd
Ste 101
Richland, WA 99352
Phone (509) 713-7555
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1477353316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 W KENNEWICK AVE # 550",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362927",
"telephone_number": "509-783-8977",
"fax_number": "509-783-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 BRADLEY BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524691",
"telephone_number": "509-713-7555",
"fax_number": "509-783-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "KASSAUNDRA",
"middle_name": "EVA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "P161267978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.