Individual provider Active NPI

Simone Alicia Larson, L.M.T

  • Massage Therapist
  • Florence, MT
National Provider Identifier
1811221179
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
928 Issued in MT
Practice address
5537 Old US 93
Suite a
Florence, MT 59833
Phone
(406) 679-0496
NPI assigned
Sep 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 928 MT Primary

Addresses

Primary practice location

5537 Old US 93
Suite a
Florence, MT 59833

Mailing address

350 North TRL
Florence, MT 59833-6713
Phone (406) 679-0496

Other practice location 1

670 King Park Dr
Ste 1
Billings, MT 59102-6257
Phone (406) 655-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
928MTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1811221179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NORTH TRL",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336713",
            "telephone_number": "406-679-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 OLD US 93",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "59833",
            "telephone_number": "406-679-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 King Park Dr",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591026257",
            "country_code": "US",
            "telephone_number": "406-655-4940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "SIMONE",
        "middle_name": "ALICIA",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.