Individual provider Active NPI

Ian Avery Larson, CF-SLP

  • Speech-Language Pathologist
  • Circleville, OH
National Provider Identifier
1487563938
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND.20263531-SP Issued in OH
Practice address
424 E Mound St
Circleville, OH 43113-1821
Phone
(740) 474-7529
Fax
(740) 474-7251
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND.20263531-SP OH Primary

Addresses

Primary practice location

424 E Mound St
Circleville, OH 43113-1821

Mailing address

424 E Mound St
Circleville, OH 43113-1821
Phone (740) 474-7529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1487563938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E MOUND ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131821",
            "telephone_number": "740-474-7529",
            "fax_number": "740-474-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E MOUND ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131821",
            "telephone_number": "740-474-7529",
            "fax_number": "740-474-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "IAN",
        "middle_name": "AVERY",
        "name_prefix": "Mr.",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20263531-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.