Active NPI
Arnold Dean Larson, PT
- Physical Therapist
- Iowa City, IA
National Provider Identifier
1568414233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00798
- Practice address
- 1130 Scott Blvd
Ste 1
Iowa City, IA 52240 - Phone
- (319) 354-2429
- Fax
- (319) 354-6100
- NPI assigned
- May 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297084 | CA | |
| Physical Therapist | 225100000X | 00798 | IA | Primary |
Addresses
Primary practice location
1130 Scott Blvd
Ste 1
Iowa City, IA 52240
Mailing address
1130 Scott Blvd
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47815LA | Other | MN | BC/BS OF MINNESOTA |
| 06-65463 | Medicaid | IA | |
| 59409 | Other | IA | WELLMARK BC/BS OF IA |
| 0481747 | Medicaid | IA | |
| 1026826 | Other | MN | PREFERRED ONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT IA PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297084 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT Ia PLLC | Physical Therapist | Current | Accepting new patients |
| Progressive Rehabilitation Associates L.L.C. | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy of Iowa | Physical Therapist | Current | Accepting new patients |
Locations
1130 S Scott Blvd
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429
7 Carnegie Plz
Cherry Hill, NJ 08003
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.
-
- Physical Therapist
- Norwalk, IA
- NPI 1730840240
-
- Physical Therapist
- Burlington, IA
- NPI 1477325132
-
- Physical Therapist
- Iowa City, IA
- NPI 1851462865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1568414233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 SCOTT BLVD",
"address_2": "STE 1",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "319-354-2429",
"fax_number": "319-354-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 SCOTT BLVD",
"address_2": "STE 1",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "319-354-2429",
"fax_number": "319-354-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "ARNOLD",
"middle_name": "DEAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297084",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "00798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MINNESOTA",
"identifier": "47815LA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06-65463",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS OF IA",
"identifier": "59409",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0481747",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1026826",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT IA PLLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2901 Cedar St",
"city": "Norwalk",
"state": "IA",
"country_code": "US",
"postal_code": "502119736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.