Individual provider Active NPI

Zane Larson, PT, DPT, ECS, OCS

  • Orthopedic Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1811062847
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5758 Issued in AZ
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

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20051108000267 AZ Practitioner - Physical Therapist in Private Practice 9133147267 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5758AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Larson Rehabilitation Services, PLC Electrophysiology, Clinical CurrentSince Jul 1, 2002 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.

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.

Verify at the official NPI Registry.