Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel P Larsen, PTA

Individual provider Physical Therapy Assistant · NPI 1265392104

Daniel P Larsen, PTA is a Physical Therapy Assistant in Fair Lawn, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

23-00 Route 208 Ste 1-6
Fair Lawn, NJ 07410-1558
Phone: (201) 796-1138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00401700 (NJ)

Record details

NPI number1265392104
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 13, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address23 Harlow Cres, Fair Lawn, NJ 07410-5236

Other providers in Fair Lawn