MS. KIMBERLY LARSON (NPI# 1780003160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780003160 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY LARSON |
| Credential | PTA |
| Practice Address |
30980 Scott Park Rd Trlr 72 Long Grove IA 52756-9641 |
| Practice Telephone | 5632101308 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 2014009194 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 160004520 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | 01072 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406067 | Kimberly Anna Larson | Acupuncturist | 1601 2nd Ave N Ste 450h, Great Falls, MT 59401-3259 | 2020-01-13 |
| 1538688635 | Kimberly Larson | Speech-Language Pathologist | 800 Barberry Way, Joliet, IL 60431-7917 | 2017-09-11 |
| 1851465694 | Kimberly Rae Larson | Dietitian, Registered | 120 N 19th Ave Ste D, Bozeman, MT 59718-3920 | 2006-11-20 |
| 1982614723 | Kimberly S Larson | Nurse Practitioner | 170 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-08-08 |
| 1972545978 | Kimberly D. Larson | Nurse Practitioner | 3170 State St, Medford, OR 97504-8450 | 2006-06-12 |
| 1215903752 | Kimberly C Larson | Physician Assistant | 2420 S Union, Ste 300, Tacoma, WA 98405-1387 | 2006-02-24 |
| 1730473885 | Kimberly Larson | Pediatrics | 747 52nd St, Oakland, CA 94609 | 2011-06-07 |
| 1033430822 | Kimberly Larson | Counselor | 404 Lincoln Blvd, Venice, CA 90291-2829 | 2010-06-16 |
| 1558546135 | Kimberly Raquell Larson | Nurse Practitioner | 7211 W Deschutes Ave, Ste D-101, Kennewick, WA 99336-7728 | 2008-01-02 |
| 1629299011 | Kimberly D Larson | Massage Therapist | 100 N Pines Rd, Spokane Valley, WA 99206-5117 | 2007-05-01 |
| Street Address |
30980 SCOTT PARK RD TRLR 72 |
| City | LONG GROVE |
| State | IA |
| Zip Code | 52756-9641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873538 | Jim Paul Licandro | Podiatrist | 405 Woodlawn Rd, Long Grove, IA 52756 | 2005-07-07 |
| 1720445281 | Premier Podiatry | Podiatrist | 405 Woodlawn Rd, Long Grove, IA 52756-8745 | 2016-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1285244749 | Briana Marie Certa | Occupational Therapist | 1190 Old Mchenry Rd, Long Grove, IL 60047-5088 | 2020-08-08 |
| 1558982637 | Liv Home Health LLC | In Home Supportive Care | 4427 Pebble Creek Ln, Long Grove, IL 60047-5283 | 2020-04-30 |
| 1932736618 | Sofia Hossain | Student in an Organized Health Care Education/Training Program | 4842 Wilderness Ct, Long Grove, IL 60047-5184 | 2020-03-24 |
| 1720615321 | Ronie Dana Vardy | Physician Assistant | 6852 Indian Creek Rd, Long Grove, IL 60047-5110 | 2020-03-24 |
| 1104453869 | Felice Block Ma Lcpc | Clinic/Center | 4160 Il Route 83 Ste 206, Long Grove, IL 60047-8034 | 2020-03-24 |
| 1316599731 | Tamara Hubbard, Lcpc, LLC | Counselor | 4160 Il Route 83 Ste 210, Long Grove, IL 60047-8034 | 2019-07-16 |
| 1316504095 | Jennifer Navarro | Social Worker | 4180 Il Route 83 Ste 10, Long Grove, IL 60047-9563 | 2019-05-28 |
| 1891259370 | Mindy Waxman | Psychologist | 5860 Rock Dove Ct, Long Grove, IL 60047-5062 | 2019-01-29 |
| 1184127516 | Robert J. Villa | Dentist | 5471 Rfd, Long Grove, IL 60047-8211 | 2018-03-12 |
| Find all providers in LONG GROVE | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841704 | Viktoriya Stupnytska | Physical Therapy Assistant | 1666 Checker Rd, Long Grove, IL 60047-5289 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447178 | Haylee Rathbun | Physical Therapy Assistant | 1208 6th St Ne, Independence, IA 50644-2138 | 2020-01-28 |
| 1760029375 | Kory Lewis Stewart | Physical Therapy Assistant | 220 Sugar Creek Ln Apt 5, North Liberty, IA 52317-9414 | 2019-12-02 |
| 1376184382 | Heather Jo Curtis | Physical Therapy Assistant | 1115 Johnson Street Rd, Keokuk, IA 52632-2219 | 2019-10-01 |
| 1326697467 | Aaron Joseph Budweg | Physical Therapy Assistant | 714 Edgington Ave, Eldora, IA 50627-1816 | 2019-09-11 |
| 1811549124 | Alicia Riffle | Physical Therapy Assistant | 6310 Nw 106th St Apt 211, Johnston, IA 50131-2466 | 2019-07-16 |
| 1851856298 | Amy Jo Coenen | Physical Therapy Assistant | 710 East 1st Street, Ankeny, IA 50021 | 2019-02-08 |
| 1093290983 | Michaela Marie Mahaffey | Physical Therapy Assistant | 514 17th St W, Clear Lake, IA 50428-1205 | 2018-09-26 |
| 1740774884 | Genevieve Anne Grant | Physical Therapy Assistant | 4825 Cedar Dr, West Des Moines, IA 50266-4954 | 2018-06-21 |
| 1326544412 | Travis Lee Krutsinger | Physical Therapy Assistant | 109 W Mclane St, Osceola, IA 50213-1419 | 2018-04-05 |
| 1356845382 | Jayden Kauk | Physical Therapy Assistant | 1715 1st Ave E, Newton, IA 50208-4050 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | LONG GROVE |
| Zip Code | 52756 |
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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.