DR. JAMIE MAE LARSEN (PT, DPT) – Physical Therapist, NPI 1043973431

DR. JAMIE MAE LARSEN (PT, DPT) is a healthcare provider. based in Wahoo, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 4295 (NE). The NPI Number for DR. JAMIE MAE LARSEN (PT, DPT) is 1043973431

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMIE MAE LARSEN (PT, DPT)
NPI
1043973431
Phone
(402) 277-0388
Address
1219 COUNTY ROAD 13
Enumeration Date
21 October 2021
Last Update Date
21 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025123893
Graduation Year
2021 (5 years ago)
PAC ID
8628468592
Group Practice PAC ID
5799056826
Professional Enrollment ID
I20211208001385
Address ID
NE680255205FR410XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for DR. JAMIE MAE LARSEN (PT, DPT)

  • 1219 COUNTY ROAD 13

    WAHOO, NE 680664122

    Phone: (402) 277-0388

    Type: Mailing

  • 1445 N BELL ST

    FREMONT, NE 680253534

    Phone: (402) 512-3893

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211208001385IPhysical Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes86570$0
97530Therapy procedure using functional activities61064$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40762$0
97113Therapy procedure using water pool to exercises, each 15 minutes15216$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8112$0
View full utilization report →

Insurance plans in this area (ZIP 68066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799056826View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-MN
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

What is the standard ID for DR. JAMIE MAE LARSEN (PT, DPT) in the U.S.?
In the U.S., DR. JAMIE MAE LARSEN (PT, DPT) is identified by NPI 1043973431.
Is DR. JAMIE MAE LARSEN (PT, DPT)'s NPI status active today?
Active status means DR. JAMIE MAE LARSEN (PT, DPT)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. JAMIE MAE LARSEN (PT, DPT)?
NPPES ties DR. JAMIE MAE LARSEN (PT, DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. JAMIE MAE LARSEN (PT, DPT) tied to Wahoo, Nebraska?
If you are local to Wahoo, Nebraska, DR. JAMIE MAE LARSEN (PT, DPT) may be relevant to your search.
Why is information missing for DR. JAMIE MAE LARSEN (PT, DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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