Independent site. Not affiliated with, endorsed by, or connected to DoD, DHA, or the official TRICARE program. Visit the official TRICARE site.
TRICARE.com
HomeProvidersBUILDING BLOCKS PEDIATRIC THERAPY

Physical Therapist, Pediatrics

BUILDING BLOCKS PEDIATRIC THERAPY

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1720402431 · enumerated 2014-02-17 · record updated 2014-04-12. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES recordGoogle Maps Apple Maps OpenStreetMap

Authorized official: JAMIE LARSEN DPT, Owner/Physical Therapist · (208) 816-4195

Addresses and phones

Specialties

  • Physical Therapist, Pediatrics 2251P0200X · License PT000010795 WA
  • Physical Therapist, Pediatrics 2251P0200X · Primary · License PT2265 ID

In this directory

ID Nez Perce County Lewiston Physical Therapist, Pediatrics

Locations and evidence

  • Practice location LEWISTON, ID, 835012713
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.