Kayla Michele Larson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62794 Issued in OR

Practice address

16265 NW Cornell Rd Ste 100
Beaverton, OR 97006-4909

Phone

(503) 466-9800

Fax

(503) 466-9817

NPI assigned

Aug 30, 2018

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.

• Westside Physical Therapy PC

  • Physical Therapist
  • Beaverton, OR
  • NPI 1225165996
  NPD (past)
• Westside Spine & Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1841226263
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1851873541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16265 NW CORNELL RD STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064909",
            "telephone_number": "503-466-9800",
            "fax_number": "503-466-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16265 NW CORNELL RD STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064909",
            "telephone_number": "503-466-9800",
            "fax_number": "503-466-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KAYLA",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Larson-Wu, LPC
• Brian David Larson, R.N.
• David P Larson, MD
• Emma Larson
• Jaime Larson, PSYD
• Madison Latchaw
• Jeremie Arana Latonio, LMT
• Christopher Lau
• Paul Lau, OD
• Barbara Ann Lauer, LCSW

• Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.