Active NPI
Nancy J Latimer, PHYSICAL THERAPIST
- Physical Therapist
- Lakeland, FL
National Provider Identifier
1013092287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22941
- Practice address
- 4406 S Florida Ave Ste 16
Lakeland, FL 33813-2182 - Phone
- (863) 648-0099
- Fax
- (863) 709-9740
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22941 | FL | Primary |
Addresses
Primary practice location
4406 S Florida Ave Ste 16
Lakeland, FL 33813-2182
Mailing address
4406 S Florida Ave Ste 16
Lakeland, FL 33813-2182
Phone (863) 648-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT22941 | Other | FL | PT LIC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT22941 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013092287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4406 S FLORIDA AVE STE 16",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132182",
"telephone_number": "863-648-0099",
"fax_number": "863-709-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4406 S FLORIDA AVE STE 16",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132182",
"telephone_number": "863-648-0099",
"fax_number": "863-709-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LIC #",
"identifier": "PT22941",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.