Brian Therald Larsen, PT - Medicare Physical Therapist in Logan, UT

Brian Therald Larsen, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Logan, Utah. His current practice location is 1300 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-2880.

Brian Therald Larsen is licensed to practice in Utah (license number 352702-2401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205993961.

Contact Information

Brian Therald Larsen, PT
1300 N 500 E,
Logan, UT 84341-2408
(435) 716-2880
Not Available



Healthcare Provider's Profile

Full NameBrian Therald Larsen
GenderMale
SpecialityPhysical Therapist - Orthopedic
Location1300 N 500 E, Logan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205993961
  • Provider Enumeration Date: 01/02/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8022465426
  • Enrollment ID: I20231107001230

Medical Identifiers

Medical identifiers for Brian Therald Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205993961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 352702-2401 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Therald Larsen allows following entities to bill medicare on his behalf.
Provider NameIhc Health Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1033822085
PECOS PAC ID: 1850209420
Enrollment ID: O20230627000064

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Therald Larsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Therald Larsen, PT
1300 N 500 E,
Logan, UT 84341-2408

Ph: (435) 716-2880
Brian Therald Larsen, PT
1300 N 500 E,
Logan, UT 84341-2408

Ph: (435) 716-2880

News Archive

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Physical Therapist in Logan, UT

Shaun P Dahle, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Brandon David Greenwood, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Madison Spainhower, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 209 W 300 N, Logan, UT 84321
Phone: 435-716-8535    
Back At Work Of Utah Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 939 S State Highway 89 Unit 3, Logan, UT 84321
Phone: 435-216-4343    
Kyle Cameron Johnson, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2310 N 400 E Ste B, Logan, UT 84341
Phone: 435-774-8557    
Sarah C Sievers, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-755-3360    
Brent Rawlings,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 630 E 1400 N Ste 140, Logan, UT 84341
Phone: 435-213-3850    Fax: 435-213-9576

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