LARSEN DUNNICLIFF PHYSICAL THERAPY INC
NPI 1093840407
Specialist in Stockton, CA
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
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larsen Dunnicliff Physical Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Larsen Dunnicliff Physical Therapy Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Larsen Dunnicliff Physical Therapy Inc enrolled in Medicare?
Yes. Larsen Dunnicliff Physical Therapy Inc is registered in the Medicare PECOS enrollment system.
When is Larsen Dunnicliff Physical Therapy Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Larsen Dunnicliff Physical Therapy Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Larsen Dunnicliff Physical Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Larsen Dunnicliff Physical Therapy Inc · NPI 1093840407
Specialist organization in Stockton, California. Organization record, active in the CMS NPPES registry since February 23, 2007.
## Identity
- **NPI:** 1093840407 (Entity type: Organization)
- **Enumerated:** February 23, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Ronald Larsen, OWNER
## Practice location
- **Address:** 2087 GRAND CANAL BLVD, SUITE 17, Stockton, CA 95207-6651
- **Phone:** (209) 473-1138 · **Fax:** (209) 473-1891
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2008
- **Other identifiers:** Other 650011088 (CA); Medicare ID-Type Unspecified 00PT86420 (CA); Other 650008773 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1093840407) · Data from the CMS NPPES public registry.