Jordan Albright Larson, P.T., O.C.S.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT 21537 Issued in CA

Practice address

1105 E Foster Rd Ste B
Santa Maria, CA 93455-6400

Phone

(805) 934-0663

Fax

(805) 934-0663

NPI assigned

Nov 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Physical Therapy, IncGroup PAC ID 6406812817, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Santa Maria, CA
  • NPI 1902978968
  Medicare reassignment Care Compare group NPD Authorized official
• Active Physical Therapy Inc

  • Physical Therapist
  • Shell Beach, CA
  • NPI 1689886764
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740352392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 SANTA FE AVE",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934491948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E FOSTER RD STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934556400",
            "telephone_number": "805-934-0663",
            "fax_number": "805-934-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JORDAN",
        "middle_name": "ALBRIGHT",
        "credential": "P.T., O.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 21537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel David Larios
• Iva Larkin, RN, PHN
• Shannon Kaye Larrabee, LMFT
• Victoria Larsen
• Crystal Larson
• Olivia Lasecke
• Dawn Latimer, RAS
• Chasity Lavatai
• Aurelia Lawrel
• Melissa Lawrence, WHNP-BC

• Orthopedic Physical Therapist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.