Emily Lynn Larson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014567A Issued in IN

Practice address

1300 Lincolnway
Valparaiso, IN 46383-5824

Phone

(219) 462-4193

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rci (WRS), LLC.

  • Physical Therapy Clinic/Center
  • Mishawaka, IN
  • NPI 1619583044

  Physical Therapist

  Medicare reassignment NPD
• Rci (WRS), LLC.

  • Physical Therapy Clinic/Center
  • Valparaiso, IN
  • NPI 1104432525
  NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1851948426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LINCOLNWAY",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835824",
            "telephone_number": "219-462-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16651 Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604772895",
            "country_code": "US",
            "telephone_number": "708-444-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "EMILY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-07-26",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014567A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Land
• Karen Marie Lange, B.S.
• Morgan Rae Lareau, PA-C
• Ebony Larsen
• Kristin Larsen, PT
• Aqib Latif, MD
• Nayef Latta, MD
• Dean Harvey Lauer, M.D.
• Dagny Laur, C.O.
• Richard Alexander Lawson, M.S.

• Physical Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.