Melodie Larson, MOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

105241 Issued in MN

Practice address

3380 Northern Valley PL NE # Oi
Rochester, MN 55906-3954

Phone

(507) 923-4000

NPI assigned

Oct 10, 2016

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)

Enrolled

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1952851305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 BAKER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 NORTHERN VALLEY PL NE # OI",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063954",
            "telephone_number": "507-923-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MELODIE",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "105241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Suzann Larson, PT, DPT
• Kristy Marie Larson
• Krysta Marie Larson, PHARMD
• Mark V Larson, M.D.
• Melissa S Larson, DPT
• Peter J Larson
• Timothy S Larson, M.D.
• Nicholas F Larusso, M.D.
• Sheldon David Las, RDH
• Anthony Lascotte, PT, DPT

• Pediatric Occupational Therapist in Rochester, MN
• Providers in Rochester, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.