BONNIE LARSEN


Address: 100 Mario Capecchi Dr, Slc, UT 84113-1103
Phone: 8017553792

BONNIE LARSEN (NPI# 1578962007) 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) 1578962007
Entity Type Individual
Full Name BONNIE LARSEN
Practice Address 100 Mario Capecchi Dr
Slc
UT 84113-1103
Mailing Address 1183 University Vlg
Slc
UT 84108-3505
Practice Telephone 8017553792
Enumeration Date 2014-08-20
Last Update Date 2014-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XN1300X Occupational Therapist
Specialization: Neurorehabilitation
6609718-4201 UT Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XP0200X Occupational Therapist
Specialization: Pediatrics
6609718-4201 UT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 100 MARIO CAPECCHI DR
City SLC
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639585011 Dennis Johnson Medical Genetics 100 Mario Capecchi Dr, Dept. of Pathology, Slc, UT 84113-1103 2014-07-07
1083037766 Lyn Standing Nurse Practitioner 100 Mario Capecchi Dr, Slc, UT 84113-1103 2014-01-30
1245671247 Mary Jo Grant Nurse Practitioner 100 Mario Capecchi Dr, Slc, UT 84113-1103 2013-07-08
1487999355 Tara Lee Finnerty Dietitian, Registered 100 Mario Capecchi Dr, Slc, UT 84113-1103 2012-12-04
1740463595 Tricia Hoggan Nurse Practitioner 100 Mario Capecchi Dr, Slc, UT 84113-1103 2007-12-14
1255432001 John Taylor Smith Orthopaedic Surgery 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 2006-09-26
1396762480 Jared W Henricksen Pediatrics 100 Mario Capecchi Dr, Slc, UT 84113-1103 2006-07-16
1720033079 Stephanie Marie Holmes Orthopaedic Surgery 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 2006-05-24
1881649929 Peter M Stevens Orthopaedic Surgery 100 Mario Capecchi Dr, 4550, Slc, UT 84113-1103 2006-05-24
1902859473 Alan Kendrick Stotts Orthopaedic Surgery 100 Mario Capecchi Dr, Slc, UT 84113-1103 2006-05-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
Find all providers in zip 84113

Taxonomy Information

Taxonomy Code 225XN1300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Neurorehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073663902 Lindey Dawn Workman Occupational Therapist 50 N Medical Dr, Slc, UT 84132-0001 2007-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679949432 Whitney Louder Occupational Therapist 1344 E Lake Springs Ln, Salt Lake City, UT 84117-7051 2015-08-17
1972979045 Greg Wootton Occupational Therapist 74 E Kimballs Ln Ste 200, Draper, UT 84020-5005 2015-08-12
1215322722 Mendability, LLC Occupational Therapist 915 S 500 E, American Fork, UT 84003-3357 2015-04-01
1033757257 Joshua David Parry Occupational Therapist 5770 S 250 E Ste G50, Murray, UT 84107-6165 2019-12-18
1386120624 Keith Jewson Occupational Therapist 1034 N 500 W, Provo, UT 84604-3380 2018-07-18
1104336528 Paul Edward Kionka Occupational Therapist 450 Williams Way, Moab, UT 84532-2185 2017-10-11
1891190930 Allison Stone Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2014-10-31
1578971578 Allison Merrell Occupational Therapist 900 Round Valley Dr, Park City, UT 84060-7552 2014-07-23
1336443068 Thomas N Riche Occupational Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2011-01-10
1689823338 Richard Aaron Winn Occupational Therapist 1034 N 500 W, Provo, UT 84604-3380 2008-09-17
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Competitor

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City SLC
Zip Code 84113

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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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