ANDREW LARSON (NPI# 1851944078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851944078 |
| Entity Type | Individual |
| Full Name | ANDREW LARSON |
| Credential | PT, DPT, MS, CMI |
| Practice Address |
2817 New Pinery Rd Portage WI 53901-9240 |
| Mailing Address |
Po Box 387 Portage WI 53901-0387 |
| Practice Telephone | 6087456290 |
| Practice Fax Number | 6086176250 |
| Mailing Telephone | 6087456290 |
| Mailing Fax Number | 6086176250 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 13415-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336407774 | Andrew Robert Larson | Family Medicine | 801 E Hilltop Ave, Flagstaff, AZ 86001-4738 | 2012-04-23 |
| 1750682282 | Andrew John Larson | Marriage & Family Therapist | 1020 Highway 7 W Ste A, Hutchinson, MN 55350-1518 | 2010-11-15 |
| 1063056422 | Andrew Larson | Behavioral Analyst | 2620 Stein Blvd Ste B, Eau Claire, WI 54701-2674 | 2019-10-29 |
| 1144615253 | Andrew Larson | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2015-04-06 |
| 1538508031 | Andrew Larson | Optometrist | 147 W 1st St, Oswego, NY 13126-2045 | 2013-06-18 |
| 1952688186 | Andrew Leavitt Larson | Counselor | 14 Fordham Rd, Allston, MA 02134-3006 | 2011-11-16 |
| 1528296043 | Andrew Jon Larson | Pathology | 9900 13th Avenue North, Suite 2a, Plymouth, MN 55441-5035 | 2009-06-23 |
| 1164678611 | Andrew J Larson | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2008-08-15 |
| 1386810430 | Andrew W Larson | Anesthesiology | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2008-05-07 |
| 1356533905 | Andrew Michael Larson | Dentist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2007-08-16 |
| Street Address |
2817 NEW PINERY RD |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506307 | James T Gariti Sr. | Emergency Medicine | 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901-9257 | 2005-11-22 |
| 1881208635 | Sophie M Tessner | Pharmacist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-08-31 |
| 1164047015 | Stephanie Jo Holt | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-06-16 |
| 1770132268 | Anna Carole Hormig | Registered Nurse | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-09-06 |
| 1790338655 | Andrea Olsen | Occupational Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-19 |
| 1316590417 | Nicole Rae Sletten | Occupational Therapy Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-18 |
| 1780236067 | Danielle Debruyne | Physical Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-16 |
| 1063077055 | Dillon Via | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-05-06 |
| 1659843886 | Andrew Benton Padley | Registered Nurse | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-12-28 |
| 1861987257 | Christine M Whelley | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1205449923 | Patricia Lynn Naus | Physical Therapist | 13832 Powell Rd, Portage, OH 43451-9770 | 2020-08-24 |
| 1073165577 | Emily Lugo | Physical Therapist | 2815 New Pinery Rd, Portage, WI 53901-9257 | 2019-07-15 |
| 1558913087 | Amy Olson | Physical Therapist | 2815 New Pinery Rd Ste 1, Portage, WI 53901-9257 | 2019-07-15 |
| 1942860556 | Ryan Thomas Scoran | Physical Therapist | 900 Orange Ave Ste 1, Portage, PA 15946-1103 | 2019-06-17 |
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1013434323 | Cassie Ross | Physical Therapist | 6016 Lovers Ln Ste 3, Portage, MI 49002-3050 | 2017-08-28 |
| 1932578580 | Shiva Ram Boda | Physical Therapist | 5169 Chasemoor Ct, Portage, MI 49024-8118 | 2015-09-24 |
| 1306285127 | Karen Lynn Solarek | Physical Therapist | 5717 Oakland Dr Ste B, Portage, MI 49024-1116 | 2013-06-15 |
| 1043591688 | Subhransu Mohan Samanta | Physical Therapist | 5066 Trumpeter Dr, Portage, MI 49024-5518 | 2011-09-08 |
| 1356621874 | Empower Physical Therapy, LLC | Physical Therapist | 5000 Portage Rd, Portage, MI 49002-1729 | 2011-08-29 |
| Find all providers in PORTAGE | ||||
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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.