Carrie B. Latham, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6745 Issued in SC

Practice address

144 Leisure LN Ste 100
Columbia, SC 29210-4156

Phone

(803) 708-2950

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carrie E Blakeney Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acker Physical TherapyGroup PAC ID 8325381411, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Acker Physical Therapy

  • Physical Therapy Clinic/Center
  • Columbia, SC
  • NPI 1245772755
  Medicare reassignment Care Compare group NPD
• Columbia Rehabilitation Clinic

  • Specialist
  • Columbia, SC
  • NPI 1164404711
  Medicare reassignment
• Columbia Rehabilitation Clinic

  • Physical Medicine & Rehabilitation Physician
  • West Columbia, SC
  • NPI 1457448144

  Physical Therapist

  NPD

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1013258771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LEISURE LN STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104156",
            "telephone_number": "803-708-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LEISURE LN STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104156",
            "telephone_number": "803-708-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420-B McNulty Road",
            "address_purpose": "LOCATION",
            "city": "Blythewood",
            "state": "SC",
            "postal_code": "29016",
            "country_code": "US",
            "telephone_number": "803-728-0421",
            "fax_number": "803-728-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "CARRIE",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BLAKENEY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adrian Laseter
• Lora Lashkova, PHARMD
• John Michael Lashley, M.A., M.DIV.
• Judy Durrah Lassiter, MA
• Latch and Speak, LLC
• Christine S Latham, RPH
• Makida Lathrop
• Ligia Latiff-Bolet, PH.D.
• Yazmine Corinne Latimore
• Yasmeen Simone Latore, APRN

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.