Active NPI
David Larres, OTR
- Occupational Therapist
- Fort Hood, TX
National Provider Identifier
1609951250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001991A
- Practice address
- 36065 Santa Fe Ave
Darnall Army Medical Center
Fort Hood, TX 76544 - Phone
- (254) 553-8065
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 31001991A | IN | |
| Occupational Therapist | 225X00000X | 31001991A | IN | Primary |
Addresses
Primary practice location
36065 Santa Fe Ave
Darnall Army Medical Center
Fort Hood, TX 76544
Mailing address
PO Box 5707
Fort Hood, TX 76544-0707
Phone (580) 919-0142
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 |
|---|---|---|---|
| 31001991A | IN | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1609951250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5707",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765440707",
"telephone_number": "580-919-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36065 SANTA FE AVE",
"address_2": "DARNALL ARMY MEDICAL CENTER",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-553-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRES",
"first_name": "DAVID",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "IN",
"license": "31001991A",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001991A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.