MARC S LARSON (PT) – Physical Therapist, NPI 1093939761
Physical Therapist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for MARC S LARSON (PT)
1030 MEDICAL DR
STE B
BRIGHAM CITY, UT 843023119
Phone: (435) 538-5111
Fax: (435) 538-5981
Type: Mailing
95-199 HOAHELE PLACE
MILILANI, HI 967895544
Phone: (808) 674-0500
Fax: (808) 674-0511
Type: Mailing
1001 KAMOKILA BLVD
#114
KAPOLEI, HI 967072097
Phone: (808) 674-0500
Fax: (808) 674-0511
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: 2023-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210211002210 | I | Physical Therapist In Private Practice | VI | TBD |
| I20231010003986 | I | Physical Therapist In Private Practice | HI | 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 | 64 | 18 | $0 |
Insurance plans in this area (ZIP 84302)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | HI | |
| Physical Therapist In Private Practice | HI | |
| - | HI | |
| Physical Therapist In Private Practice | HI | |
| - | HI | |
| Physical Therapist In Private Practice | HI | |
| Physical Therapist In Private Practice | HI | |
| Physical Therapist In Private Practice | HI | |
| Physical Therapist In Private Practice | HI | |
| Physical Therapist In Private Practice | HI |
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