Roger L. Larson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

105692-2401 Issued in UT

Practice address

6040 Fashion Blvd
Ste.# 200
Murray, UT 84107-5417

Phone

(801) 266-7534

Fax

(801) 266-7547

NPI assigned

Dec 5, 2005

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699759357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 FASHION BLVD",
            "address_2": "STE.# 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075417",
            "telephone_number": "801-266-7534",
            "fax_number": "801-266-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 FASHION BLVD",
            "address_2": "STE.# 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075417",
            "telephone_number": "801-266-7534",
            "fax_number": "801-266-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ROGER",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "105692-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-05616",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMOUNTAIN HEALTHCARE",
            "identifier": "107009228101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L. Craig Larsen, DPM
• Sarah Larsen
• Christopher David Davis Larson, DO
• Corey Linn Larson, APRN
• Natalie Larson
• Sandy Larson, PTA
• Julie Larsson
• Nicole Latgis, PA-C
• Chenelle Lau
• Brenda Lauck

• Physical Therapist in Murray, UT
• Providers in Murray, UT by specialty
• Physical Therapist in Utah

• 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.

Verify at the official NPI Registry.