MRS. CARRIE E LARSEN


Address: 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343
Phone: 2157427820

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 1011083330001 05

Other Providers CARRIE LARSEN

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

Office Location

Street Address 4641 ROOSEVELT BLVD
City PHILADELPHIA
State PA
Zip Code 19124-2343

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19124

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Dataset Information

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.

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