Jacob Larson, OTD | |
1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 | |
(801) 773-2633 | |
(801) 773-1553 |
Full Name | Jacob Larson |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 8 Years |
Location | 1992 W Antelope Dr, Layton, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538615943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | 9829767-4201 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dry Creek Physical Therapy And Wellness Pllc | 0042228512 | 25 |
Provider Name | Dry Creek Physical Therapy & Wellness Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124109921 PECOS PAC ID: 0042228512 Enrollment ID: O20060324000080 |
Provider Name | Summit Hand Therapy |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497040869 PECOS PAC ID: 3375714371 Enrollment ID: O20110923000269 |
Mailing Address | Practice Location Address |
---|---|
Jacob Larson, OTD 1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 Ph: (801) 773-2633 | Jacob Larson, OTD 1992 W Antelope Dr, Suite 1-d, Layton, UT 84041-4953 Ph: (801) 773-2633 |
Ashton Polachek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 365 W 1550 N Ste H, Layton, UT 84041 Phone: 801-618-7903 | |
Summit Hand Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2179 N 1700 W, Suite 5, Layton, UT 84041 Phone: 801-773-2633 Fax: 801-773-1553 | |
Michelle Braithwaite, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1992 W Antelope Dr Ste 1d, Layton, UT 84041 Phone: 801-773-2633 | |
Lindsey Michelle Ward, OTR/L, CFPS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1205 N Fairfield Rd, Layton, UT 84041 Phone: 801-876-1611 | |
Dr. Brian David Jensen, OTD,OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1992 W Antelope Dr Ste 1d, Layton, UT 84041 Phone: 801-773-2633 | |
Aarone Moroni Cefalo, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 365 W 1550 N Ste H, Layton, UT 84041 Phone: 801-618-7903 | |
Brian Taylor Woodbury, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 Phone: 801-618-7903 |