Active NPI
Malgorzata Agnieszka Latala, PT
- Physical Therapist
- Monroe, MI
National Provider Identifier
1013962877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004876
- Practice address
- 1038 N Monroe St
Monroe, MI 48162-3113 - Phone
- (734) 242-0101
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 5501004876 | MI | Primary |
Addresses
Primary practice location
1038 N Monroe St
Monroe, MI 48162-3113
Mailing address
9200 Groh Rd
Grosse Ile, MI 48138-1903
Phone (734) 676-6959
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501004876 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1013962877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 GROH RD",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481381903",
"telephone_number": "734-676-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623113",
"telephone_number": "734-242-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATALA",
"first_name": "MALGORZATA",
"middle_name": "AGNIESZKA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.