{"npi":"1093840407","type":"NPI-2","status":"active","name":{"display":"Larsen Dunnicliff Physical Therapy INC","other":[],"organization_name":"LARSEN DUNNICLIFF PHYSICAL THERAPY INC","authorised_official":"Ronald Larsen"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"CA","license":"PT66770"},{"code":"174400000X","description":"Specialist","primary":true,"state":"CA","license":"PT86420"}]},"addresses":[{"purpose":"LOCATION","street_1":"2087 GRAND CANAL BLVD","city":"STOCKTON","state":"CA","postal_code":"952076651","country_code":"US","street_2":"SUITE 17","phone":"2094731138","fax":"2094731891"},{"purpose":"MAILING","street_1":"2087 GRAND CANAL BLVD","city":"STOCKTON","state":"CA","postal_code":"952076651","country_code":"US","street_2":"SUITE 17","phone":"2094731138","fax":"2094731891"}],"license":{"state":"CA","number":"PT86420"},"identifiers":[{"type_code":"01","label":"Other","value":"650011088","state":"CA","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"650008773","state":"CA","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20081117000626","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"CA","pac_id":"4284794512"}]},"enumeration_date":"2007-02-23","last_updated":"2008-11-17","_meta":{"source":"NPPES","snapshot_date":"2008-11-17","doc_url":"https://findmynpi.com/api"}}