Stacy Larson, is a
Occupational Therapist - Physical Rehabilitation based in Cibolo, Texas. Stacy Larson is licensed to practice in Texas (license number 118964) and her current practice location is
816 Everyday Way, Cibolo, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 538-3812.
NPI number for Stacy Larson is 1508643768 and her current mailing address is 2821 Berry Way, Schertz, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508643768.
Healthcare Provider's Profile
Full Name | Stacy Larson |
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Gender | Female |
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Speciality | Occupational Therapist - Physical Rehabilitation |
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Location | 816 Everyday Way, Cibolo, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508643768
- Provider Enumeration Date: 09/12/2023
- Last Update Date: 09/12/2023
Medical Identifiers
Medical identifiers for Stacy Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508643768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 118964 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stacy Larson, 2821 Berry Way, Schertz, TX 78154-5403 Ph: (307) 274-1179 | Stacy Larson, 816 Everyday Way, Cibolo, TX 78108-4080 Ph: (210) 538-3812 |
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