Daniel P. Larsen, PTA
NPI 1265392104ActiveIndividual· Physical Therapy Assistant· Fair Lawn, NJ
Physical Therapy Assistant (PTA) in Fair Lawn, New Jersey, licensed in NJ, with an NPI issued in November 2025.
Overview
| NPI | 1265392104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Nov 13, 2025 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 40QB00401700 | NJ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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