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JACOB LARSON OTD
NPI 1538615943
Occupational Therapist - Hand in Layton, UT

Active since August 27, 2016Accepts Medicare Assignment
1992 W ANTELOPE DR, SUITE 1-D, LAYTON, UT 84041(801) 773-2633(801) 773-1553 Get Directions Write a Review

NPPES record last updated: August 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Larson Otd NPPES

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

JACOB LARSON OTD (NPI 1538615943) is an individual hand provider in Layton, Utah, licensed in Utah (9829767-4201) and active in the NPI registry since August 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1538615943
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameJACOB LARSONCredential: OTD
Location Address1992 W ANTELOPE DR, SUITE 1-DLayton, UT 84041-4953
Mailing Address1992 W Antelope Dr, Suite 1-dLayton, UT 84041-4953 · (801) 773-2633
Phone(801) 773-2633
Fax(801) 773-1553
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 27, 2016
✔ NPI 1538615943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in UT · 9829767-4201
1992 W ANTELOPE DR, Layton, UT 84041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Jacob Larson Otd 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 ID6406131812
PECOS Enrollment IDI20170328000532

Medicare Billing Reassignment

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

Dry Creek Physical Therapy & Wellness PLLC
46 mi
Orthopedic
3300 RUNNING CREEK WAY, BUILDING B SUITE 150
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • 45 clinicians in this Medicare group
NPI 1124109921 (801) 766-4244

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 4

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.
129 services13 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
101 services15 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
81 services14 patients
Evaluation for occupational therapy, typically 45 minutes 97166
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
12 services11 patients

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.

SUMMIT HAND THERAPY
Occupational Therapist (Hand)
1992 W ANTELOPE DR, SUITE 1-D
LAYTON, UT 84041
Davis County (801) 773-2633
WORK INJURY SOLUTIONS, INC.
Physical Therapist
1992 W ANTELOPE DR, SUITE 1C
LAYTON, UT 84041
Davis County (801) 217-3755
MR. SAMUEL J DELONG OTD, OTRL
Occupational Therapist (Hand)
1992 W ANTELOPE DR, SUITE 1-D
LAYTON, UT 84041
Davis County (801) 773-2633
MARIE SOUTH HAGGART MD
Family Medicine
1992 W ANTELOPE DR, 2B
LAYTON, UT 84041
Davis County (801) 776-4444

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 Jacob Larson's NPI number?

The NPI number for Jacob Larson is 1538615943. It was assigned to this individual provider in the NPPES registry on August 27, 2016.

Where is Jacob Larson located?

Jacob Larson practices at 1992 W Antelope Dr Suite 1-D, Layton, UT 84041. The listed phone number is (801) 773-2633.

What is Jacob Larson's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Jacob Larson enrolled in Medicare?

Yes. Jacob 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 Jacob Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Larson reassigns Medicare benefits to Dry Creek Physical Therapy & Wellness PLLC (Lehi, UT). 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 Jacob Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Larson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jacob 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 Jacob Larson was last updated on August 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.