NPIMap

Organization Active NPI

Larson Endeavors PLLC

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1760728695
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
9105 Issued in AZ
Legal business name
LARSON ENDEAVORS PLLC
Practice address
1309 W Guadalupe Rd
Suite 1
Mesa, AZ 85202-9112
Phone
(480) 280-9625
Fax
(480) 718-7628
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Jennifer Lynn-Monroe Larson, PT, DPT, LMTNPI 1952610412
Title
Owner & Lead Physical Therapist
Phone
(480) 381-1344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 9105 AZ Primary

Addresses

Primary practice location

1309 W Guadalupe Rd
Suite 1
Mesa, AZ 85202-9112

Mailing address

1309 W Guadalupe Rd
Suite 1
Mesa, AZ 85202-9112
Phone (480) 280-9625

Other identifiers 1

IdentifierTypeStateIssuer
560177MedicaidAZ

Other names 1

  • Orthopedic & Sports Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1309 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 280-9625

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1760728695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W GUADALUPE RD",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029112",
            "telephone_number": "480-280-9625",
            "fax_number": "480-718-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W GUADALUPE RD",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029112",
            "telephone_number": "480-280-9625",
            "fax_number": "480-718-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON ENDEAVORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN-MONROE",
        "authorized_official_title_or_position": "OWNER & LEAD PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-381-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, LMT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "9105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560177",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic & Sports Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.