MRS. ALEXANDRA RENEE LARSON (NPI# 1730435777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730435777 |
| Entity Type | Individual |
| Full Name | MRS. ALEXANDRA RENEE LARSON |
| Credential | PT |
| Practice Address |
5156 Whipple Ave Nw Canton OH 44718-2663 |
| Practice Telephone | 3304781752 |
| Practice Fax Number | 3304781763 |
| Mailing Telephone | 3304781752 |
| Mailing Fax Number | 3304781763 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 013783 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3055563 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964785 | Alexandra Larson | Behavior Technician | 5121 Ne Elam Young Pkwy Ste A, Hillsboro, OR 97124-8295 | 2020-08-26 |
| 1992090468 | Alexandra L Larson | Pathology | 701 W Kalsched St, Marshfield, WI 54449-1334 | 2011-06-13 |
| Street Address |
5156 WHIPPLE AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720309065 | Kyle Ann Bundy | Physical Therapy Assistant | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2010-06-22 |
| 1831590462 | Angela Rose Hiltbrand | Physical Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-09-15 |
| 1407272347 | Kali Michelle Nissen | Occupational Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-03-17 |
| 1659797298 | Cara E Clester | Physical Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-03-06 |
| 1568896595 | Roberta L. Rankl | Speech-Language Pathologist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2013-08-27 |
| 1386084812 | Nicole Lynn Clester | Occupational Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2013-06-28 |
| 1003179607 | Alexa J Goffus | Speech-Language Pathologist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2012-06-19 |
| 1316228216 | Lisa Marie Utt | Physical Therapy Assistant | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2011-09-06 |
| 1780963173 | Felicia Marie Baird | Speech-Language Pathologist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2011-08-16 |
| 1356639215 | Amy L. Hammock | Occupational Therapy Assistant | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2011-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184173874 | Hillary Lawrence | Physical Therapist | 428 33rd St Nw, Canton, OH 44709-3014 | 2016-09-23 |
| 1982937223 | Nimble Kids LLC | Physical Therapist | 200 Riverstone Dr, Suite B, Canton, GA 30114-5256 | 2009-09-17 |
| 1467633842 | Sonya L Larrieux | Physical Therapist | 125 Thoreau Rd, Canton, MA 02021-2494 | 2007-11-14 |
| 1093256109 | Hearts and Hands Therapy Services, Inc. | Physical Therapist | 709 Crescent Cir, Canton, GA 30115-4772 | 2017-03-09 |
| 1831590462 | Angela Rose Hiltbrand | Physical Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-09-15 |
| 1659797298 | Cara E Clester | Physical Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-03-06 |
| 1811310923 | Kathleen Conrad | Physical Therapist | 2100 38th St Nw, Canton, OH 44709-2312 | 2014-01-24 |
| 1003114109 | Kids@home Therapy Services | Physical Therapist | 701 27th St Ne, Canton, OH 44714-1703 | 2011-03-14 |
| 1154623056 | Tracy Leigh Elliott | Physical Therapist | 139 State Street Rd, Canton, NY 13617-3504 | 2010-11-28 |
| 1326274663 | Hippo Associates, LLC | Physical Therapist | 1055 Thomas Rd, Canton, GA 30115-6702 | 2009-06-01 |
| Find all providers in CANTON | ||||
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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.