Active NPI
Paul Matthew Larson, P.T.
- Orthopedic Physical Therapist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3942
- Practice address
- 2510 E 7TH Ave
Flagstaff, AZ 86004-3719 - Phone
- (928) 522-0364
- Fax
- (928) 522-0439
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 3942 | AZ | Primary |
Addresses
Primary practice location
2510 E 7TH Ave
Flagstaff, AZ 86004-3719
Mailing address
PO Box 2395
Flagstaff, AZ 86003-2395
Phone (928) 522-0364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326
4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3942 | AZ | MD | Child Mental Illness Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Orthopaedic Center, P.C. | Current | Accepting new patients | |
| Alpha and Omega Physical Therapy Acc | Current | Accepting new patients |
Locations
2510 E 7th Ave
Flagstaff, AZ 86004
Phone (928) 522-0364
861 E Cooley St
#B
Show Low, AZ 85901
Phone (928) 522-0364
4045 W Royal Dr
Traverse City, MI 49684
Phone (231) 935-0900
Interoperability endpoints
- paul.larson.1@27291.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Traverse City, MI
- NPI 1952323453
-
- Orthopaedic Surgery Physician
- Muskegon, MI
- NPI 1972566594
-
- Physical Therapist
- Show Low, AZ
- NPI 1245202456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477525681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2395",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860032395",
"telephone_number": "928-522-0364",
"fax_number": "928-522-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 E 7TH AVE",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043719",
"telephone_number": "928-522-0364",
"fax_number": "928-522-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "PAUL",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "3942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.