JACOB LARSON (NPI# 1538615943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538615943 |
| Entity Type | Individual |
| Full Name | JACOB LARSON |
| Credential | OTD |
| Practice Address |
1992 W Antelope Dr Suite 1-d Layton UT 84041-4953 |
| Practice Telephone | 8017732633 |
| Practice Fax Number | 8017731553 |
| Mailing Telephone | 8017732633 |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2016-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
9829767-4201 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174084149 | Jacob Daniel Larson | Physician Assistant | 62 Abmc, Bldg 620305, Camp Pendleton, CA 92055 | 2019-03-30 |
| Street Address |
1992 W ANTELOPE DR SUITE 1-D |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-4953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780603910 | Samuel J Delong | Occupational Therapist | 1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 | 2006-07-19 |
| 1659635498 | Work Injury Solutions, Inc. | Physical Therapist | 1992 W Antelope Dr, Suite 1c, Layton, UT 84041-4953 | 2012-06-26 |
| 1497040869 | Summit Hand Therapy | Durable Medical Equipment & Medical Supplies | 1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 | 2011-06-14 |
| 1144382334 | Mary Ellen Mason | Family Medicine | 1992 W Antelope Dr, 2b, Layton, UT 84041-4953 | 2006-12-14 |
| 1780758227 | Marie South Haggart | Family Medicine | 1992 W Antelope Dr, 2b, Layton, UT 84041-4953 | 2006-11-17 |
| 1588688360 | Bradley Allen Urie | Anesthesiology | 1992 W Antelope Dr, Ste 1c, Layton, UT 84041-4974 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295060085 | Ryan Dean Mcgiven | Occupational Therapist | 1992 W Antelope Dr Ste 1d, Layton, UT 84041 | 2009-10-12 |
| 1023298999 | Summit Hand Therapy LLC | Occupational Therapist | 2179 N 1700 W, Suite 5, Layton, UT 84041-1138 | 2007-11-08 |
| 1780603910 | Samuel J Delong | Occupational Therapist | 1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 | 2006-07-19 |
| 1831745975 | Summit Hand Therapy | Occupational Therapist | 1992 W Antelope Dr Ste 1d, Layton, UT 84041-4974 | 2019-08-14 |
| 1114579869 | Brian David Jensen | Occupational Therapist | 1992 W Antelope Dr Ste 1d, Layton, UT 84041-4974 | 2019-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265677520 | Lana Kayleen Keizer | Occupational Therapist | 420 Wakara Way, Suite 105, Salt Lake City, UT 84108-1276 | 2008-12-15 |
| 1174524862 | Kimberly M Ross | Occupational Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2005-08-03 |
| 1548874969 | Bruce A Piispanen | Occupational Therapist | 150 W 100 N, Vernal, UT 84078-2036 | 2020-09-02 |
| 1053965905 | Cache Valley Hand Therapy LLC | Occupational Therapist | 2310 N 400 E Ste D, North Logan, UT 84341-1788 | 2019-07-30 |
| 1760641823 | Camille Lister | Occupational Therapist | 3845 W 4700 S, Taylorsville, UT 84118-3454 | 2008-06-04 |
| 1174738843 | Kathrine M Detemple | Occupational Therapist | 590 Wakara Way, Slc, UT 84108-1200 | 2007-05-14 |
| 1558486290 | Rhonda Marsh | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2007-03-20 |
| 1932232055 | Cheryl Ann Patterson | Occupational Therapist | 9660 S 1300 E, Sandy, UT 84094-3762 | 2007-03-14 |
| 1821121948 | Andrew Todd Bracken | Occupational Therapist | 9660 S 1300 E, Sandy, UT 84094-3762 | 2007-03-14 |
| 1780766733 | Megan M Evans | Occupational Therapist | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.