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

Mr. Robert J Larsen, MPTATG

Individual provider Physical Therapist · NPI 1124111372

Mr. Robert J Larsen, MPTATG is a Physical Therapist in Private Practice in Bountiful, Utah. Qualified in 1994, 32 years ago. Practices with Sportsmed Physical Therapy of Bountiful a Professional Corp, a 5-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
32
Licensed in
UT
In the registry since
2006
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Practice location Address checks out

1551 S Renaissance Twn Dr Ste 420
Bountiful, UT 84010
Phone: (801) 295-8999
Fax: (801) 292-4168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2780262401 (UT)

Record details

NPI number1124111372
Entity typeIndividual (Type 1)
GenderMale
Credentials MPTATG
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Sportsmed Physical Therapy Of Bountiful A Professional Corp — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful