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

MS. Kimberly Larson, PTA

Individual provider Physical Therapy Assistant · NPI 1780003160

MS. Kimberly Larson, PTA is a Physical Therapy Assistant in Long Grove, Iowa. Practices as a sole proprietor. Licensed in Iowa, Illinois and Missouri.

Licensed in
IA, IL, MO
In the registry since
2014
Specialties on file
3
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

30980 Scott Park Rd Trlr 72
Long Grove, IA 52756-9641
Phone: (563) 210-1308
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 01072 (IA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 160004520 (IL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2014009194 (MO)

Record details

NPI number1780003160
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 14, 2014
Last updated in NPPESApril 14, 2014
Mailing address30980 Scott Park Rd Trlr 72, Long Grove, IA 52756-9641