Jordan A Larson (NPI# 1740352392, PAC ID# 0042276453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1740352392 |
| PAC ID by PECOS | 0042276453 |
| Professional Enrollment ID | I20120120000587 |
| Full Name | Jordan A Larson |
| Organization Legal Name | ACTIVE PHYSICAL THERAPY, INC |
| Address |
5075 S Bradley Rd Suite 121 Santa Maria CA 93455-5077 |
| Phone Number | 8059340663 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6406812817 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5075 S Bradley Rd, Suite 121, Santa Maria, CA 93455-5077 | 8059340663 | ACTIVE PHYSICAL THERAPY, INC |
| Organization Legal Name | ACTIVE PHYSICAL THERAPY, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon M Downs | Physical Therapy | Active Physical Therapy, Inc | 5075 S Bradley Rd, Suite 121, Santa Maria, CA 93455-5077 |
| Victor A P Romero | Physical Therapy | Active Physical Therapy, Inc | 5075 S Bradley Rd, Suite 121, Santa Maria, CA 93455-5077 |
| Rachael M Pharr Larson | Physical Therapy | Active Physical Therapy, Inc | 5075 S Bradley Rd, Suite 121, Santa Maria, CA 93455-5077 |
| Street Address |
5075 S BRADLEY RD SUITE 121 |
| City | SANTA MARIA |
| State | CA |
| Zip | 93455-5077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farnaz Pirayesh | Family Medicine | Pacific Central Coast Health Centers | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 |
| Brandon M Downs | Physical Therapy | Active Physical Therapy, Inc | 5075 S Bradley Rd, Suite 121, Santa Maria, CA 93455-5077 |
| Victor A P Romero | Physical Therapy | Active Physical Therapy, Inc | 5075 S Bradley Rd, Suite 121, Santa Maria, CA 93455-5077 |
| Rachael M Pharr Larson | Physical Therapy | Active Physical Therapy, Inc | 5075 S Bradley Rd, Suite 121, Santa Maria, CA 93455-5077 |
| Patricia C Castro | Nurse Practitioner | Pacific Central Coast Health Centers | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaiah James Coupland Roggow | Family Medicine | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Nicolas Asher Walton | Family Medicine | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Scott T Cowger | Physician Assistant | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Brittany A Jones | Physical Therapy | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Abigail J Kraemer-cole | Physician Assistant | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Peter A Krause | Family Medicine | 2151 S College Dr, Suite 203, Santa Maria, CA 93455-1305 | |
| Rachel E Hawkins | Psychologist, Clinical | Santa Barbara County County Auditor | 2115 S Centerpointe Pkwy, Santa Maria Health Care Center, Santa Maria, CA 93455-1334 |
| Paul L Manosar | Physical Therapy | Star Physical Therapy of Santa Maria, Inc. | 2342 Professional Pkwy, Suite 110, Santa Maria, CA 93455-1659 |
| Patrick D Wayland | Physical Therapy | Star Physical Therapy of Santa Maria, Inc. | 2342 Professional Pkwy, Suite 110, Santa Maria, CA 93455-1659 |
| Kristopher W Szalonek | Physical Therapy | Star Physical Therapy of Santa Maria, Inc. | 2342 Professional Pkwy, Santa Maria, CA 93455-1659 |
| Find all physicians in zip 93455 | |||
| City | SANTA MARIA |
| Zip Code | 93455 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SANTA MARIA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jordan A Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.