Individual provider Active NPI

Lorilee C Larson, P.T.

  • Pediatric Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1700979606
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1151 Issued in SD
Practice address
4009 W 49TH St Ste 103
Sioux Falls, SD 57106-5221
Phone
(605) 951-0417
Fax
(605) 356-8075
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1151 SD
Physical Therapist 225100000X 7066 MN
Pediatric Physical Therapist 2251P0200X 1151 SD Primary

Addresses

Primary practice location

4009 W 49TH St Ste 103
Sioux Falls, SD 57106-5221

Mailing address

27805 481St Ave
Canton, SD 57013-5543
Phone (320) 979-0232

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1151SDMDFamily Medicine Physician
7066MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiny Tots PT, Inc. CurrentSince Feb 12, 2023 Accepting new patients
Big Stone Therapies, Inc Physical Therapist Past Accepting new patients

Locations

6100 W 41st St
Ste 102
Sioux Falls, SD 57106
Phone (605) 271-1852

5109 S Crossing Pl
Ste 104
Sioux Falls, SD 57108

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1700979606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27805 481ST AVE",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570135543",
            "telephone_number": "320-979-0232",
            "fax_number": "605-356-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 W 49TH ST STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065221",
            "telephone_number": "605-951-0417",
            "fax_number": "605-356-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LORILEE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1151",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7066",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SD",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.