Individual provider Active NPI

Halley Dollive Larmon, DPT, COMT, OCS

  • Physical Therapist
  • Brandon, FL
National Provider Identifier
1679978027
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29568 Issued in FL
Practice address
932 Oakfield Dr
Brandon, FL 33511-4950
Phone
(813) 654-1410
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29568 FL Primary

Addresses

Primary practice location

932 Oakfield Dr
Brandon, FL 33511-4950

Mailing address

19651 Bruce B Downs Blvd Ste D2
Tampa, FL 33647-3430
Phone (813) 991-7193

Other practice location 1

19651 Bruce B Downs Blvd Ste D2
Tampa, FL 33647-3430
Phone (813) 991-7193

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

LicenseStateTypeSpecialty
PT29568FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Assoicates, Inc. CurrentSince Feb 13, 2022 Accepting new patients
Rehabclinics SPT Inc Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc PastSince Feb 13, 2022 Accepting new patients

Locations

19651 Bruce B Downs Blvd
Ste D2
Tampa, FL 33647
Phone (813) 991-7193

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1679978027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19651 BRUCE B DOWNS BLVD STE D2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473430",
            "telephone_number": "813-991-7193",
            "fax_number": "813-991-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114950",
            "telephone_number": "813-654-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19651 Bruce B Downs Blvd Ste D2",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473430",
            "country_code": "US",
            "telephone_number": "813-991-7193",
            "fax_number": "813-991-7459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARMON",
        "first_name": "HALLEY",
        "middle_name": "DOLLIVE",
        "name_prefix": "Miss",
        "credential": "DPT, COMT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.