Active NPI
Zane Larson, PT, DPT, ECS, OCS
- Orthopedic Physical Therapist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5758
- Practice address
- 1600 W University Ave
#106
Flagstaff, AZ 86001-3114 - Phone
- (928) 526-3031
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 5758 | AZ | |
| Orthopedic Physical Therapist | 2251X0800X | 5758 | AZ | Primary |
Addresses
Primary practice location
1600 W University Ave
#106
Flagstaff, AZ 86001-3114
Mailing address
1600 W University Ave
#106
Flagstaff, AZ 86001-3114
Phone (928) 526-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1600 W University Ave
Suite 106
Flagstaff, AZ 86001-3114
1600 W University Ave
Suite 106
Flagstaff, AZ 86001-3154
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.5 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5758 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larson Rehabilitation Services, PLC | Electrophysiology, Clinical | Current | Accepting new patients |
Locations
1600 W University Ave
Ste 106
Flagstaff, AZ 86001
Phone (928) 526-3031
1600 W University Ave
Flagstaff, AZ 86001
Phone (928) 526-3031
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Flagstaff, AZ
- NPI 1508189853
Electrophysiology, Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1811062847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY AVE",
"address_2": "#106",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013114",
"telephone_number": "928-526-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY AVE",
"address_2": "#106",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013114",
"telephone_number": "928-526-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "ZANE",
"name_prefix": "Dr.",
"credential": "PT, DPT, ECS, OCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "AZ",
"license": "5758",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "5758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.