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

Larainna Jo Lively

Individual provider Physical Therapist · NPI 1780554857

Larainna Jo Lively is a Physical Therapist in Colorado Springs, Colorado. Licensed in Colorado and South Carolina. Registered with an NPI since 2025.

Licensed in
CO, SC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5815 Mark Dabling Blvd
Colorado Springs, CO 80919-2231
Phone: (719) 413-8061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12370 (SC)
Physical Therapist Taxonomy 225100000X · Licence CP045035T (CO)

Record details

NPI number1780554857
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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