Active NPI
Graydon Dan Larsen, MOT, OTR/L
- Pediatric Occupational Therapist
- South Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 12814739-4201
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children in Motion, LLC | Current | Accepting new patients | |
| Speech and Language Clinic, Inc | Past | Accepting new patients | |
| Mountain View Hospital LLC | Past | 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.
-
- Rehabilitation Clinic/Center
- Draper, UT
- NPI 1073316709
-
- Occupational Therapist
- Murray, UT
- NPI 1922770502
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Speech-Language Pathologist
- Ammon, ID
- NPI 1891953519
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.