Larson Rehabilitation Services, PLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5758 Issued in AZ

Legal business name

LARSON REHABILITATION SERVICES, PLC

Practice address

1600 W University Ave
Ste 106
Flagstaff, AZ 86001-3114

Phone

(928) 526-3031

Fax

(928) 526-3098

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Zane Larson Larson, PT, DPT, ECS, OCS

Title

Member

Phone

(928) 526-3031

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zane Larson, PT, DPT, ECS, OCS

  • Orthopedic Physical Therapist
  • Flagstaff, AZ
  • NPI 1811062847

  Electrophysiology, Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1508189853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE",
            "address_2": "STE 106",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013114",
            "telephone_number": "928-526-3031",
            "fax_number": "928-526-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE",
            "address_2": "STE 106",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013114",
            "telephone_number": "928-526-3031",
            "fax_number": "928-526-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON REHABILITATION SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ZANE LARSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-526-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ECS, OCS"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "AZ",
            "license": "5758",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "5758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Charles Stevens, PH.D., P.C.
• Larsen Chiropractic, Inc.
• Douglas Ray Larsen, D.C.
• Emily Jane Larsen, PA-C
• Kara Lee Larsen, D.O.
• Molly Larson-Wakeman, PHARMD
• Andrew Robert Larson, MD MPH
• Paul Matthew Larson, P.T.
• Zane Larson, PT, DPT, ECS, OCS
• Emily Lashbrook, RBT

• Orthopedic Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.