Jason Joseph Larson, M.Ed., ATC, EMT
Specialist/Technologist, Athletic Trainer in Lawrenceville, NJ. Individual provider (NPI-1).
NPI number1194948232
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1194948232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Joseph Larson
- Credential
- M.Ed., ATC, EMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00097100 | NJ | Yes |
Practice location
2500 Main StLawrenceville, NJ 08648-1600
Phone 609-895-2037 · Fax 609-620-7634
Mailing address
Po Box 6562Lawrenceville, NJ 08648-0562
Phone 609-620-7606 · Fax 609-620-7634
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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