Robert J. Larsen, MPT ATG
NPI 1124111372ActiveIndividual· Physical Therapist· Bountiful, UT
Physical Therapist (MPT ATG) with Sportsmed Physical Therapy of Bountiful A Professional Corp, practicing in Bountiful, Utah. Medicare paid $70,248 for services to 77 patients in 2024.
Overview
| NPI | 1124111372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT ATG |
| Sole proprietor | No |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2780262401 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 3,947 across 10 procedure codes |
| Paid by Medicare | $70,248 |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sportsmed Physical Therapy of Bountiful A Professional CorpBountiful, UT · 5 clinicians
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