Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043346687 Individual Practitioner Female Practitioner

Mary St. John Larson , LMT, CMTPT

Specialist • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Mary Larson, LMT, CMTPT is a registered healthcare professional specializing in Specialist in Orange Park, FL. Practice services are available at 2301 PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2301 Park Ave
#209

Orange Park, FL 320735565

Telephone 9042159923
Associated Practice Facility / Clinic
🏢 Mcalpin Dental Group P.a. Facility NPI 1336449545

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Orange Park, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL MA 39861

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbsf
C4073 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1194975219

Doctor of Dental Medicine

Dr. Clive Rayner , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1922068824

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2013

Registered at 2301 PARK AVE, #209, ORANGE PARK, FL 320735565 (Tel: 9042159923)

📍
Updated Business Mailing Address December 05, 2013

Registered at 2301 PARK AVE, #209, ORANGE PARK, FL 320735565 (Tel: 9042159923)

👤
Provider Name / Credentials Updated December 05, 2013

Recorded as MARY LARSON, LMT,CMTPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2013

Specialist (License #MA 39861 in FL)

🟢
Initial NPI Registration & Enumeration February 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043346687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: December 05, 2013
Sole Proprietor: Yes

Mailing Address

2301 Park Ave, #209

Orange Park, FL 320735565

Phone: 9042159923

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.