JONAH LARSON – Physical Therapist, NPI 1164962296
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JONAH LARSON
3124 Sidney Brooks St
San Antonio, TX 782355113
Phone: (210) 593-0578
Fax: (210) 614-3261
Type: Location
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604404909
Phone: (630) 296-2223
Fax: (630) 759-9510
Type: Mailing
North Durango Drive, Desert Shores, Las Vegas, Clark County, Nevada, 89129-7262, United States
LAS VEGAS, NV 891494605
Phone: (702) 826-5749
Fax: (702) 273-3015
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: 2017-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171016001870 | I | Physical Therapist In Private Practice | NV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 76 | 51 | $0 |
| 97530 | Therapy procedure using functional activities | 65 | 48 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 78235)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NM | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | NY | |
| - | NV | |
| Physical Therapist In Private Practice | IL | |
| - | NV | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | NY |
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