DR. ZANE LARSON (NPI# 1811062847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811062847 |
| Entity Type | Individual |
| Full Name | DR. ZANE LARSON |
| Credential | PT, DPT, ECS, OCS |
| Practice Address |
1600 W University Ave #106 Flagstaff AZ 86001-3114 |
| Practice Telephone | 9285263031 |
| Mailing Telephone | 9285263031 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
5758 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5758 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1600 W UNIVERSITY AVE #106 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700198058 | Alaina Pancio Leiendecker | Dentist | 1600 W University Ave, #103, Flagstaff, AZ 86001-3114 | 2010-07-01 |
| 1508189853 | Larson Rehabilitation Services, Plc | Electrodiagnostic Medicine | 1600 W University Ave, Ste 106, Flagstaff, AZ 86001-3114 | 2010-03-01 |
| 1730310418 | Gregory D. Novak, M.d. P.C. | Pathology | 1600 W University Ave, Suite 215, Flagstaff, AZ 86001-3114 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265567937 | Leopold Roger Labranche | Physical Therapist | 3909 E Thrush Ln, Flagstaff, AZ 86004-7710 | 2007-02-22 |
| 1336252022 | Peggy Mary Mahon | Physical Therapist | 1485 N. Turquoise Drive, Suite 220, Flagstaff, AZ 86001-1395 | 2006-08-16 |
| 1477525681 | Paul Matthew Larson | Physical Therapist | 2510 E 7th Ave, Flagstaff, AZ 86004-3719 | 2006-02-02 |
| 1982235792 | Benjamin Wakefield | Physical Therapist | 1510 S Riordan Ranch St, Flagstaff, AZ 86001-6372 | 2020-01-30 |
| 1013436310 | Nicholas Woods | Physical Therapist | 1485 N Turquoise Dr Ste 220, Flagstaff, AZ 86001-2000 | 2017-09-18 |
| 1841736618 | Proof Physical Therapy and Performance, LLC | Physical Therapist | 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 | 2017-01-17 |
| 1225341118 | Ariel Leah Coffey | Physical Therapist | 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001-1479 | 2010-07-20 |
| 1356653000 | Flagstaff Center for Bone and Joint Disorders | Physical Therapist | 77 W Forest Ave, 301, Flagstaff, AZ 86001-1479 | 2010-07-10 |
| 1104080118 | Ronald Earhart | Physical Therapist | 77 W Forest Ave, 301, Flagstaff, AZ 86001-1479 | 2008-07-18 |
| 1396844668 | Carl Peter Derosa | Physical Therapist | 1485 N Turquoise Dr, Suite 220, Flagstaff, AZ 86001-1398 | 2006-09-22 |
| Find all providers in FLAGSTAFF | ||||
Please comment or provide details below to improve the information on DR. ZANE LARSON.
| 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.