Individual provider Active NPI

Graydon Dan Larsen, MOT, OTR/L

  • Pediatric Occupational Therapist
  • South Jordan, UT
National Provider Identifier
1730857285
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
12814739-4201 Issued in UT
Practice address
10975 S Sterling View Dr Ste 1C
South Jordan, UT 84095-4109
Phone
(833) 783-2229
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 12814739-4201 UT Primary

Addresses

Primary practice location

10975 S Sterling View Dr Ste 1C
South Jordan, UT 84095-4109

Mailing address

859 E Johnson Way Dr
Sandy, UT 84094-6345
Phone (801) 386-3967

Other practice location 1

40374 Fremont Blvd Unit C
Fremont, CA 94538-3409
Phone (510) 315-5257

Other practice location 2

111 E 5600 S Ste 110
Murray, UT 84107-8153
Phone (385) 388-8256

Other practice location 3

910 Campisi Way Ste 1A
Campbell, CA 95008-2350
Phone (408) 826-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706003070 UT Practitioner - Occupational Therapist in Private Practice 6305226549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Therapy Partners LLCGroup PAC ID 2769981679, 5 clinicians

Practice addresses (Care Compare)

2825 E Cottonwood Pkwy
Suite 500
Salt Lake City, UT 84121-7060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Children in Motion, LLC CurrentSince Jul 21, 2024 Accepting new patients
Speech and Language Clinic, Inc PastSince Sep 1, 2021 Accepting new patients
Mountain View Hospital LLC PastSince Sep 1, 2021 Accepting new patients

Locations

5284 S Commerce Dr
Ste C214
Salt Lake City, UT 84107
Phone (801) 871-5492

Organizations & group practices 4

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1730857285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 E JOHNSON WAY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840946345",
            "telephone_number": "801-386-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10975 S STERLING VIEW DR STE 1C",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954109",
            "telephone_number": "833-783-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40374 Fremont Blvd Unit C",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945383409",
            "country_code": "US",
            "telephone_number": "510-315-5257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 5600 S Ste 110",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841078153",
            "country_code": "US",
            "telephone_number": "385-388-8256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Campisi Way Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950082350",
            "country_code": "US",
            "telephone_number": "408-826-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "GRAYDON",
        "middle_name": "DAN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "UT",
            "license": "12814739-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.