MRS. CARRIE E LARSEN (NPI# 1437222023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437222023 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE E LARSEN |
| Practice Address |
4641 Roosevelt Blvd Philadelphia PA 19124-2343 |
| Practice Telephone | 2157427820 |
| Practice Fax Number | 2157427808 |
| Mailing Telephone | 2157427820 |
| Mailing Fax Number | 2157427808 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT017108 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1011083330001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306235825 | Carrie Larsen | Nurse Practitioner | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2015-01-21 |
| 1811192107 | Carrie Ann-drew Larsen | Case Manager/Care Coordinator | 100 E Valley View Dr, Fullerton, CA 92832-1321 | 2007-06-18 |
| Street Address |
4641 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972161 | Katherine B. Frantz | Psychiatry & Neurology | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2005-09-13 |
| 1770109407 | Amy Fisher | Social Worker | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2020-06-18 |
| 1518583426 | Holly Albaugh | Social Worker | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2020-06-17 |
| 1700401809 | Brittany Arnao | Social Worker | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2398 | 2020-06-15 |
| 1255963047 | Kathleen Cuffy | Registered Nurse | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2020-02-10 |
| 1922641620 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2019-10-25 |
| 1871153809 | Roya Bina | Psychiatry & Neurology | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2019-06-20 |
| 1427522937 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2019-01-17 |
| 1609355387 | Samantha Diane Coppola | Counselor | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2018-08-13 |
| 1841785136 | Lauren Newman | Social Worker | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154789006 | Candice Mcnamee | Physical Therapist | 433 Belgrade St, Philadelphia, PA 19125-2622 | 2016-02-07 |
| 1770996449 | Jessica Tonismae | Physical Therapist | 1920 Webster St, Philadelphia, PA 19146-1828 | 2014-06-10 |
| 1710123641 | Robin Kanner | Physical Therapist | 246 W Upsal St, Apt A404, Philadelphia, PA 19119-3264 | 2008-12-24 |
| 1962022079 | Gabriela Campbell | Physical Therapist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-04-18 |
| 1285263228 | Melissa Lily Chiu | Physical Therapist | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-04-02 |
| 1326604893 | Aashika Suseendran | Physical Therapist | 1011 Poplar St, Philadelphia, PA 19123-1962 | 2019-05-10 |
| 1174644777 | Staci Jill Braverman | Physical Therapist | 10521 Drummond Rd, Philadelphia, PA 19154-3807 | 2007-04-02 |
| 1336264449 | Shu-ling C Tan | Physical Therapist | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2007-03-20 |
| 1043334303 | Jamiylah Sika Burns | Physical Therapist | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2007-03-19 |
| 1326111469 | Theresa Mercedes Angeli | Physical Therapist | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2006-11-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on MRS. CARRIE E LARSEN.
| 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.