MEDICARE: MR. DAVID E LARSON MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	12053	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AA 27096	OTHER	MA	HARVARD PILGRIM GROUP #
2	Y67685	OTHER	MA	BC/BS PROVIDER NUMBER

General Provider Information

NPI Number	:	1740288927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID E LARSON MSPT

Provider Business Mailing Address
First Line	:	4 RICHMOND SQ
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02906-5117
Country	:	US
Telephone Number	:	401-433-4172
Fax Number	:	401-433-0612

Provider Business Practice Location Address
First Line	:	63 MELCHER ST STE 100
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02210-1534
Country	:	US
Telephone Number	:	857-250-4597
Fax Number	:	857-305-0482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	10/15/2025

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1093155129 — ELICIA M HICKEY DPT
Practice Location Address:

63 MELCHER ST STE 100
BOSTON, MA
02210-1534

Practice Phone: 617-536-1161
Practice Fax: 617-536-1165

1043896426 — IAN KARBY PT, DPT, ATC
Practice Location Address:

63 MELCHER ST STE 100
BOSTON, MA
02210-1534

Practice Phone: 617-536-1161
Practice Fax:

1083429443 — REBECCA LYNN RIVERA PT, DPT
Practice Location Address:

63 MELCHER ST STE 100
BOSTON, MA
02210-1534

Practice Phone: 857-250-4597
Practice Fax: 857-305-0482

1104196278 — PROF. ALMA C ADAMS MSW
Practice Location Address:

1534 TREMONT ST
BOSTON, MA
02120

Practice Phone: 617-277-3212
Practice Fax:

1881684934 — NEW DIMENSIONS IN HEALTH, INC.
Practice Location Address:

653 SUMMER ST , 2ND FLOOR
BOSTON, MA
02210-2108

Practice Phone: 617-269-6262
Practice Fax: 617-269-1068

Directions to “ MR. DAVID E LARSON MSPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.