KIMBERLY JEAN LARSEN (NPI# 1811523145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811523145 |
| Entity Type | Individual |
| Full Name | KIMBERLY JEAN LARSEN |
| Credential | PTA |
| Practice Address |
3251 N Summerbrook Pl Meridian ID 83646-5581 |
| Practice Telephone | 2088910490 |
| Mailing Telephone | 2088910490 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA063 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265480347 | Kimberly Destefano Larsen | Family Medicine | 4225 Altamont Pl Ste 201, White Plains, MD 20695-3065 | 2006-05-04 |
| 1801427109 | Kimberly Anne Larsen | Registered Nurse | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-01-27 |
| 1134207947 | Kimberly W. Larsen | Psychiatry & Neurology | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1790743060 | Kimberly R Larsen | Chiropractor | 7130 W Chandler Blvd, Ste 19, Chandler, AZ 85226-3241 | 2006-05-03 |
| Street Address |
3251 N SUMMERBROOK PL |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-5581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| 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 |
|---|---|---|---|---|
| 1700334703 | Ma. Dulce Corazon Lipana | Physical Therapy Assistant | 3679 W Bismark Dr, Meridian, ID 83646-9008 | 2016-09-19 |
| 1457627317 | Theresa Franklin | Physical Therapy Assistant | 3719 Hwy 39 N, Meridian, MS 39301 | 2012-03-26 |
| 1821151044 | Amanda Marie Miller | Physical Therapy Assistant | 3800 W Perugia St Apt V308, Meridian, ID 83642-4896 | 2006-12-19 |
| 1982259586 | Diamond Jones | Physical Therapy Assistant | 4908 Great River Dr, Meridian, MS 39305-2663 | 2019-08-09 |
| 1629620737 | Sam Davis Hudnall Jr. | Physical Therapy Assistant | 4908 Great River Dr, Meridian, MS 39305-2663 | 2019-07-10 |
| 1669034823 | Kendrick Justin King Gunning | Physical Therapy Assistant | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2019-07-08 |
| 1912569401 | Whitney Gardner | Physical Therapy Assistant | 3716 Highway 39 N, Meridian, MS 39301-1013 | 2019-07-03 |
| 1073019212 | Erica Joy Sheppard | Physical Therapy Assistant | 3025 W Cherry Ln Ste D, Meridian, ID 83642-8531 | 2018-04-05 |
| 1265944300 | Brandon Dipasquale | Physical Therapy Assistant | 3716 Ms-39, Meridian, MS 39301 | 2017-10-30 |
| 1538692892 | Teresa Brown | Physical Therapy Assistant | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2017-04-04 |
| Find all providers in MERIDIAN | ||||
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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.