Active NPI
William Glenn Larson, LIC PHYSICAL THERAPI
- Pediatric Physical Therapist
- Hot Springs, AR
National Provider Identifier
1568427359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2022
- Practice address
- 1510 Lakeshore Drive
Hot Springs, AR 71913 - Phone
- (507) 760-7440
- Fax
- (501) 760-7442
- NPI assigned
- Apr 18, 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2022 | TX | Primary |
Addresses
Primary practice location
1510 Lakeshore Drive
Hot Springs, AR 71913
Mailing address
284 Hidden Valley
Hot Springs, AR 71913
Phone (501) 525-0222
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 |
|---|---|---|---|
| 2022 | TX | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568427359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 HIDDEN VALLEY",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "501-525-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 LAKESHORE DRIVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "507-760-7440",
"fax_number": "501-760-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "WILLIAM",
"middle_name": "GLENN",
"credential": "LIC PHYSICAL THERAPI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "2022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.