JESSICA LARSON PT
NPI 1457283244
Physical Therapist in Fort Myers, FL

Active since June 03, 2026
11930 FAIRWAY LAKES DR STE 103-104, FORT MYERS, FL 33913(239) 687-3224(239) 687-3275 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Larson Pt NPPES

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

JESSICA LARSON PT (NPI 1457283244) is an individual physical therapist in Fort Myers, Florida, licensed in Florida (PT44806) and active in the NPI registry since June 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1457283244
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJESSICA LARSONCredential: PT
Location Address11930 FAIRWAY LAKES DR STE 103-104Fort Myers, FL 33913-8388
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005
Fax(239) 687-3275
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 3, 2026
Last NPPES UpdateJune 14, 2026
NPPES CertifiedJune 14, 2026
✔ NPI 1457283244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in FL · PT44806
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11930 FAIRWAY LAKES DR STE 103-104, Fort Myers, FL 33913

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Larson Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173082138
PECOS Enrollment IDI20260828004798

Medicare Billing Reassignment

Medicare enrollment records show Jessica Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
9025 TOWN CENTER PKWY
Lakewood Ranch, FL 34202
  • Reassigned Medicare billing, Florida enrollment
  • 58 clinicians in this Medicare group

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 Jessica Larson's NPI number?

The NPI number for Jessica Larson is 1457283244. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Jessica Larson located?

Jessica Larson practices at 11930 Fairway Lakes Dr Ste 103-104, Fort Myers, FL 33913. The listed phone number is (239) 687-3224.

What is Jessica Larson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jessica Larson enrolled in Medicare?

Yes. Jessica Larson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Larson reassigns Medicare benefits to Fitness Quest - Venice LLC (Lakewood Ranch, FL). The 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 Jessica Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Larson was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.