Active NPIIndividual providerSole proprietor

Daniel P Larsen, PTA

Physical Therapy Assistant in Fair Lawn, New Jersey

NPI Number1265392104
Practice location
23-00 Route 208 Ste 1-6, Fair Lawn, NJ 07410-1558
Fax
—
Last updated
November 13, 2025

Daniel P Larsen is a Physical Therapy Assistant based in Fair Lawn, NJ. Daniel P Larsen practices in Fair Lawn, NJ and has the professional credentials of PTA. The NPI Number for Daniel P Larsen is 1265392104 and holds a License No. 40QB00401700 (NJ). The current practice location address for Daniel P Larsen is 23-00 Route 208 Ste 1-6, Fair Lawn, NJ 07410-1558 and can be reached out via phone at 201-796-1138.

Provider Profile Details

NPI Number
1265392104
Provider Name
Daniel P Larsen
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
23-00 Route 208 Ste 1-6, Fair Lawn, NJ 07410-1558
Phone Number
201-796-1138
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2025
Last Update Date
November 13, 2025
Certification Date
November 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
23-00 Route 208 Ste 1-6
Fair Lawn, NJ 07410-1558
Zip
07410-1558
Phone Number
201-796-1138
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
23 Harlow Cres
Fair Lawn, NJ 07410-5236
City
Fair Lawn
State
NJ
Zip
07410-5236
Phone Number
201-691-5164

License Information

License Number
40QB00401700
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapy Assistants near Fair Lawn, NJ

View all Physical Therapy Assistants in Fair Lawn →

Frequently Asked Questions

What is the NPI number of Daniel P Larsen, PTA?

The NPI number of Daniel P Larsen, PTA is 1265392104. It was assigned on November 13, 2025 and is currently active in the NPPES registry.

What is the specialty of Daniel P Larsen, PTA?

Daniel P Larsen, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00401700.

Where does Daniel P Larsen, PTA practice?

The practice location is 23-00 Route 208 Ste 1-6, Fair Lawn, NJ 07410-1558. The office can be reached at 201-796-1138 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265392104 directly on the NPPES registry website.

Browse related providers