Individual provider Active NPI

Leila Larson, PT

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1912046830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6719 Issued in TN
Practice address
21 Vaughns Gap Rd
Nashville, TN 37205-4330
Phone
(304) 952-1438
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6719 TN Primary

Addresses

Primary practice location

21 Vaughns Gap Rd
Nashville, TN 37205-4330

Mailing address

21 Vaughns Gap Rd
Nashville, TN 37205-4330
Phone (304) 952-1438

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6719TNMDReflexologist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Underwood Physical Therapy CurrentSince Dec 1, 2012 Accepting new patients

Locations

2021 Richard Jones Rd
Ste 180
Nashville, TN 37215
Phone (615) 298-8021

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912046830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 VAUGHNS GAP RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054330",
            "telephone_number": "304-952-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 VAUGHNS GAP RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054330",
            "telephone_number": "304-952-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LEILA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.