SANDRA K LARSON (NPI# 1659310845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659310845 |
| Entity Type | Individual |
| Full Name | SANDRA K LARSON |
| Credential | PT |
| Practice Address |
516 Montgomery St Decorah IA 52101-2720 |
| Mailing Address |
704 Ridge Rd Decorah IA 52101-1120 |
| Practice Telephone | 5633824770 |
| Practice Fax Number | 5633824785 |
| Mailing Telephone | 5633824770 |
| Mailing Fax Number | 5633824785 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
03565 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
03565 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | JOHN DEERE | TN0100 | 01 |
| IA | BLUE CROSS BLUE SHEILD | 34900 | 01 |
| IA | MIDLANDS CHOICE | F245962 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265862866 | Sandra Larson | Student in an Organized Health Care Education/Training Program | 3740 W Market Center Dr Ste 1200, Riverton, UT 84065-8026 | 2013-11-18 |
| 1730400383 | Sandra L Larson | Social Worker | 1064 Brooklawn Ct, Troy, MI 48084-2621 | 2010-06-17 |
| 1619039922 | Sandra Sue Larson | Dentist | 1919 South 40th St, Suite 105, Lincoln, NE 68506-5247 | 2006-12-14 |
| 1407460892 | Sandra Larson | Behavior Technician | 2428 N Grand Ave Ste K, Santa Ana, CA 92705-8708 | 2020-09-02 |
| 1760033658 | Sandra Larson | Counselor | 500 Barfield Dr, Hastings, MI 49058-9018 | 2019-09-23 |
| 1174614408 | Sandra L Larson | Counselor | 401 Stageline Rd, Hudson, WI 54016-7897 | 2006-09-28 |
| 1396779773 | Sandra Larson | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-10 |
| Street Address |
516 MONTGOMERY ST |
| City | DECORAH |
| State | IA |
| Zip Code | 52101-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918309 | Gregory Lindsey Lane | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2005-08-09 |
| 1306347141 | Gundersen Clinic Ltd | Clinic/Center | 516 Montgomery St, Decorah, IA 52101-2720 | 2018-02-27 |
| 1821418724 | Derek John Rausch | Specialist/Technologist | 516 Montgomery St, Decorah, IA 52101-2720 | 2014-04-18 |
| 1235561762 | Molly Helene Haberichter | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2013-08-07 |
| 1265720122 | Roxanne Marie Baethke | Physical Therapist | 516 Montgomery St, Team Rehab Lc, Decorah, IA 52101 | 2011-07-13 |
| 1891918173 | Lindsey Joanna Shay | Physical Therapist | 516 Montgomery St, Team Rehab Lc, Decorah, IA 52101 | 2007-04-11 |
| 1134142516 | Team Rehab, LLC | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-07-26 |
| 1891737755 | Devin J Johnson | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-12 |
| 1134168313 | Steven Eugene Krieg | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-05 |
| 1841245123 | Lisa Krieg | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757911 | Andrew W Fritz | Specialist/Technologist | 700 College Drive, Regents Center, Decorah, IA 52101 | 2019-02-26 |
| 1265846935 | Amber Lynn Mccarville | Dentist | 501 Sanford, Decorah, IA 52101 | 2014-06-20 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1487721809 | Mary Christine Atkinson | Counselor | 1111 Paine Street, Decorah, IA 52101 | 2006-11-29 |
| 1578632220 | Kirsten Ann Ludwig | Counselor | 1111 Paine St, Decorah, IA 52101 | 2006-11-07 |
| 1760585350 | Dental Associates of Decorah PC | Dentist | 501 Sanford St, Decorah, IA 52101 | 2006-09-07 |
| 1780634196 | Theresa K Fullhart | Social Worker | 905 Montgomery Street, Decorah, IA 52101 | 2006-05-10 |
| 1487620688 | Mayo Clinic Hospital-rochester | Clinic/Center | 901 Montgomery Street, Decorah, IA 52101 | 2006-02-27 |
| 1205298668 | Benjamin Avi Levinson | Nurse Anesthetist, Certified Registered | 901 Montgomery St, Decorah, IA 52101 | 2016-03-24 |
| Find all providers in zip 52101 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245123 | Lisa Krieg | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462807 | Ryan Haverkamp | Physical Therapist | 715 W Mamie Eisenhower Ave, Boone, IA 50036-3930 | 2019-05-15 |
| 1922412105 | Jenny Dacquel | Physical Therapist | 927 23rd St, West Des Moines, IA 50265-3323 | 2014-06-16 |
| 1578180915 | Samantha Francois | Physical Therapist | 3485 Windsor Ave, Dubuque, IA 52001-1312 | 2020-07-01 |
| 1770125544 | Kari Lauren Kramer | Physical Therapist | 1111 11th Ave N, Humboldt, IA 50548-1225 | 2019-10-14 |
| 1063067510 | Daniel Ray Garnes | Physical Therapist | 1015 S Iowa Ave, Washington, IA 52353-1126 | 2019-08-01 |
| 1518523158 | Maria Gannon | Physical Therapist | 212 Lafayette Ave, Story City, IA 50248-1454 | 2019-05-18 |
| 1770048399 | Kourtni Robinson | Physical Therapist | 2035 Chester Ave, Ottumwa, IA 52501-3715 | 2019-02-07 |
| 1023546728 | Theresa Marie Alt | Physical Therapist | 1140 Elim Dr, Marion, IA 52302-5817 | 2017-05-25 |
| 1245606623 | Alicia Roesger | Physical Therapist | 2002 Cedar St, Muscatine, IA 52761-2612 | 2015-08-19 |
| 1861775900 | Stephen Paul Mehrer | Physical Therapist | 1701 W 25th St, Sioux City, IA 51103-1705 | 2011-09-26 |
| 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.