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DR. IAN MICHAEL LARSON PT, DPT
NPI 1467831073
Physical Therapist - Orthopedic in Phoenix, AZ

Active since May 28, 2015Accepts Medicare Assignment
4025 E CHANDLER BLVD STE 60, PHOENIX, AZ 85048(480) 417-5271 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ian Michael Larson Pt, Dpt NPPES

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

DR. IAN MICHAEL LARSON PT, DPT (NPI 1467831073) is an individual orthopedic provider in Phoenix, Arizona, licensed in Arizona (11525) and active in the NPI registry since May 2015. He maintains a secondary practice location in Phoenix and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467831073
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. IAN MICHAEL LARSONCredential: PT, DPT
Location Address4025 E CHANDLER BLVD STE 60Phoenix, AZ 85048-8833
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
Phone(480) 417-5271
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 28, 2015
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
✔ NPI 1467831073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in AZ · 11525
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 11525 (AZ)
Also ListedPhysical Therapist · NeurologyTaxonomy 2251N0400X · License 11525 (AZ)
4025 E CHANDLER BLVD STE 60, Phoenix, AZ 85048
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Secondary Practice Location 1

Location 115640 N 7th St Ste 6Phoenix, AZ 85022-3538 · Phone (602) 439-3800 · Fax (602) 439-3802

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ian Michael Larson Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416211909
PECOS Enrollment IDI20180509002019

Medicare Billing Reassignment

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

Ati Holdings Of Arizona, LLC
24 mi
Physical Therapist
706 E BELL RD STE 121
Phoenix, AZ 85022
  • Reassigned Medicare billing, Arizona enrollment
  • 436 clinicians in this Medicare group
NPI 1871570309 (602) 795-8441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
100 services27 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
48 services23 patients

Other Providers at the Same Location NPPES

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

KEITH SEMKEN
Physical Therapist
4025 E CHANDLER BLVD STE 60
PHOENIX, AZ 85048
Maricopa County (480) 417-5271

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 Ian Larson's NPI number?

The NPI number for Ian Larson is 1467831073. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Ian Larson located?

Ian Larson practices at 4025 E Chandler Blvd Ste 60, Phoenix, AZ 85048. The listed phone number is (480) 417-5271.

What is Ian Larson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Ian Larson enrolled in Medicare?

Yes. Ian Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ian Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Larson reassigns Medicare benefits to Ati Holdings Of Arizona, LLC (Phoenix, AZ). 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 Ian Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ian Larson accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Ian Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ian Larson was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.