Dabney Larson-Hargrafen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03061 Issued in IA

Practice address

Isu Thomas B. Thielen Student Health Center
2647 Union Drive
Ames, IA 50011

Phone

(515) 294-5801

Fax

(515) 294-1190

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dabney Larson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Isu Thielen Student Health Center

  • Student Health Clinic/Center
  • Ames, IA
  • NPI 1356477319
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1639221211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500112029",
            "telephone_number": "515-294-2626",
            "fax_number": "515-294-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ISU THOMAS B. THIELEN STUDENT HEALTH CENTER",
            "address_2": "2647 UNION DRIVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "50011",
            "telephone_number": "515-294-5801",
            "fax_number": "515-294-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON-HARGRAFEN",
        "first_name": "DABNEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18932",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30585",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DABNEY",
            "last_name": "LARSON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan E Lang, LMHC
• Lange Homecare LLC
• Macie Langstraat
• Robert William Larrance, HEARING INSTRUMENT
• Larson Eyecare Inc
• David C. Larson, MD
• Julie Ann Larson, O.D.
• Susan Kay Latcham, ARNP, FNP-BC
• Tresa Lathrop
• Mackenzie Laughlin, OTR/L

• Physical Therapist in Ames, IA
• Providers in Ames, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.