Tracy Marie Lattin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

121369-2401 Issued in UT

Practice address

3666 E Brighton Point Dr
Cottonwood Heights, UT 84121-5555

Phone

(214) 850-4879

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arise Physical Therapy Services LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1073489092
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1003391038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3666 E BRIGHTON POINT DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215555",
            "telephone_number": "214-850-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 E BRIGHTON POINT DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215555",
            "telephone_number": "214-850-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIN",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "121369-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "121369-2401",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Scott Larsen
• John Murray Larsen, FNP-C
• Lauren Larson
• Scott Larson, MD
• Abbey Lattin
• Taylor Dale Laudie, BCBA, M.ED
• Alexis Laur
• Stephanie Laws
• Marina Lawson, LAC
• Asiyah Leavitt

• Physical Therapist in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.