Sarah Nichole Larson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6586 Issued in CA

Practice address

4242 Camino del Rio N Ste 3-5
San Diego, CA 92108-2611

Phone

(619) 467-8970

Fax

(877) 298-4204

NPI assigned

Oct 14, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD (past)

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1831065200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LINBROOK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117109",
            "telephone_number": "619-467-8970",
            "fax_number": "877-298-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 CAMINO DEL RIO N STE 3-5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082611",
            "telephone_number": "619-467-8970",
            "fax_number": "877-298-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "SARAH",
        "middle_name": "NICHOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Larson
• Kelly Larson
• Kristina Lynn Larson, DACM, LAC
• Krysten Larson
• Phillip Erik Larson, P.T. A.
• Shaheen Larson, MA OTR/L
• Shawna Larai Larson, J.D., M.S.W.
• Theresa Larson, DPT, CSCS, SFMA
• Victoria Larson, MA CF-SLP
• William Evert Larson, D.M.D.

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.