STACI LARSEN DPT
NPI 1679926190
Physical Therapist in Clive, IA

Active since July 20, 2016Accepts Medicare Assignment
1601 NW 114TH ST STE 347, CLIVE, IA 50325(515) 222-7350(515) 222-7355 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Apr 23, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Staci Larsen Dpt NPPES

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

STACI LARSEN DPT (NPI 1679926190) is an individual physical therapist in Clive, Iowa, licensed in Iowa (082743) and active in the NPI registry since July 2016. She maintains a secondary practice location in Urbandale and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679926190
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSTACI LARSENCredential: DPT
Location Address1601 NW 114TH ST STE 347Clive, IA 50325-7046
Mailing AddressPo Box 674721Dallas, TX 75267-4721 · (515) 643-2519 · Fax (515) 222-7355
Fax(515) 222-7355
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 20, 2016
Last NPPES UpdateApril 9, 20264 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
NPI 1679926190 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 IA · 082743
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.
1601 NW 114TH ST STE 347, Clive, IA 50325

Other Names 1

Former Name (1)Staci Gillum

Secondary Practice Location 1

Location 14003 NW Urbandale DrUrbandale, IA 50322-7914 · Phone (515) 643-9250 · Fax (515) 643-9249

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Staci Larsen 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 ID4486940319
PECOS Enrollment IDI20160901000968

Areas of Expertise CMS Part B claims 5

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 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.
393 services42 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.
378 services36 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.
318 services40 patients
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.
190 services25 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
34 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Speech-Language Pathologist
1601 NW 114TH ST STE 347
CLIVE, IA 50325
Physical Therapist
1601 NW 114TH ST STE 347
CLIVE, IA 50325
Physical Therapist
1601 NW 114TH ST STE 347
CLIVE, IA 50325
Physical Therapist
1601 NW 114TH ST STE 347
CLIVE, IA 50325
Physical Therapist
1601 NW 114TH ST STE 347
CLIVE, IA 50325
Physical Therapist
1601 NW 114TH ST STE 347
CLIVE, IA 50325
Physical Therapist
1601 NW 114TH ST STE 347
CLIVE, IA 50325
Physical Therapist
1601 NW 114TH ST STE 347
CLIVE, IA 50325

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 Staci Larsen's NPI number?

The NPI number for Staci Larsen is 1679926190. It was assigned to this individual provider in the NPPES registry on July 20, 2016. The provider is also known as Staci Gillum.

Where is Staci Larsen located?

Staci Larsen practices at 1601 NW 114th St Ste 347, Clive, IA 50325. The listed phone number is (515) 222-7350.

What is Staci Larsen's specialty?

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

Is Staci Larsen enrolled in Medicare?

Yes. Staci Larsen 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.

What insurance does Staci Larsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Staci Larsen 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 Staci Larsen was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.