Active NPI
Lorilee C Larson, P.T.
- Pediatric Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1700979606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1151 | SD | MD | Family Medicine Physician |
| 7066 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiny Tots PT, Inc. | Current | 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.
-
- Physical Therapy Clinic/Center
- Sioux Falls, SD
- NPI 1922450394
-
- Physical Therapy Clinic/Center
- Big Stone City, SD
- NPI 1124044656
Physical Therapist
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.