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LARSEN DUNNICLIFF PHYSICAL THERAPY INC
NPI 1093840407
Specialist in Stockton, CA

Active since February 23, 2007
2087 GRAND CANAL BLVD, SUITE 17, STOCKTON, CA 95207(209) 473-1138(209) 473-1891 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larsen Dunnicliff Physical Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARSEN DUNNICLIFF PHYSICAL THERAPY INC (NPI 1093840407) is a healthcare organization registered as a specialist in Stockton, California and active in the NPI registry since February 2007. The organization lists Ronald K Larsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1093840407
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLARSEN DUNNICLIFF PHYSICAL THERAPY INC
Location Address2087 GRAND CANAL BLVD, SUITE 17Stockton, CA 95207-6651
Mailing Address2087 Grand Canal Blvd, Suite 17Stockton, CA 95207-6651 · (209) 473-1138 · Fax (209) 473-1891
Phone(209) 473-1138
Fax(209) 473-1891
Organization SubpartNo
Authorized OfficialRonald K LarsenOwner · (209) 473-1138
Enumeration DateFebruary 23, 2007
Last NPPES UpdateNovember 17, 2008
✔ NPI 1093840407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in CA · PT86420✔ Licensed in CA · PT66770
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2087 GRAND CANAL BLVD, Stockton, CA 95207
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Other Identifiers 4

Other650011088CA · Railroad Medicare
Medicare ID-Type Unspecified00PT86420CA
Other650008773CA · Railroad Medicare
Medicare ID-Type Unspecified00PT66770CA · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY DEAN DUNNICLIFF P.T.
Physical Therapist
2087 GRAND CANAL BLVD, SUITE 17
STOCKTON, CA 95207
San Joaquin County (209) 473-1138
GSK GROUP, INC.
Durable Medical Equipment & Medical Supplies
2087 GRAND CANAL BLVD, SUITE 10
STOCKTON, CA 95207
San Joaquin County (209) 478-0691
RONALD KENNETH LARSEN P.T.
Physical Therapist
2087 GRAND CANAL BLVD, SUITE 17
STOCKTON, CA 95207
San Joaquin County (209) 473-1138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larsen Dunnicliff Physical Therapy Inc's NPI number?

The NPI number for Larsen Dunnicliff Physical Therapy Inc is 1093840407. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Larsen Dunnicliff Physical Therapy Inc located?

Larsen Dunnicliff Physical Therapy Inc is located at 2087 Grand Canal Blvd Suite 17, Stockton, CA 95207. The listed phone number is (209) 473-1138.

What is Larsen Dunnicliff Physical Therapy Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Larsen Dunnicliff Physical Therapy Inc was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.