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EVAN LARSON
NPI 1376164921
Durable Medical Equipment & Medical Supplies in Fort Worth, TX

Active since May 05, 2020
1100 BRIDGEWOOD DR STE 102, FORT WORTH, TX 76112(817) 966-7000 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evan Larson NPPES

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

EVAN LARSON (NPI 1376164921) is an individual durable medical equipment & medical supplies provider in Fort Worth, Texas, licensed in Texas (1001565) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1376164921
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameEVAN LARSON
Location Address1100 BRIDGEWOOD DR STE 102Fort Worth, TX 76112-0808
Mailing Address1100 Bridgewood Dr Ste 102Fort Worth, TX 76112-0808 · (817) 966-7000
Phone(817) 966-7000
Sole ProprietorYes
Enumeration DateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1376164921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in TX · 1001565
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1100 BRIDGEWOOD DR STE 102, Fort Worth, TX 76112
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Other Providers at the Same Location NPPES 4

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

LANDRIE MICHELE JOHANSEN PT, MPT
Physical Therapist
1100 BRIDGEWOOD DR STE 102
FORT WORTH, TX 76112
Tarrant County (855) 339-6378
METROPLEX HEALTH REHAB, LLC
Psychologist (Clinical)
1100 BRIDGEWOOD DR STE 102
FORT WORTH, TX 76112
Tarrant County (817) 798-8374
CONNECTED 2 THERAPY, PLLC
Clinic/Center (Physical Therapy)
1100 BRIDGEWOOD DR STE 102
FORT WORTH, TX 76112
Tarrant County (855) 339-6978
MR. TORY WILLIAM LANCTOT LMT
Massage Therapist
1100 BRIDGEWOOD DR STE 102
FT WORTH, TX 76112
Tarrant County (855) 339-6978

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 Evan Larson's NPI number?

The NPI number for Evan Larson is 1376164921. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Evan Larson located?

Evan Larson practices at 1100 Bridgewood Dr Ste 102, Fort Worth, TX 76112. The listed phone number is (817) 966-7000.

What is Evan Larson's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Evan Larson was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.