Latefa Nichelle Terry, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

6870 Issued in GA

Practice address

120 W Villanow St
La Fayette, GA 30728-2463

Phone

(706) 638-5983

NPI assigned

Jun 23, 2006

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Physical Therapy Plus, LLC

  dba LaFayette Physical Therapy

  • Physical Therapist
  • La Fayette, GA
  • NPI 1518999028
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023044948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 LOCKSLEY LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162913",
            "telephone_number": "423-490-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W VILLANOW ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282463",
            "telephone_number": "706-638-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "LATEFA",
        "middle_name": "NICHELLE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "6870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Stalling
• Heather Staton, PHARMD
• Suzanne Storey, MD
• Angela Leanne Tatum, PHYSICAL THERAPIST
• Ronald Craig Temples, RPH
• Elizabeth E Thompson, MSN, APRN, FNP-C
• Emanuel Thompson
• Samuel Luke Thompson, DMD
• Michael Anthony Trammell, PTA
• United Rehab Inc (United Rehab of Lafayette)

• Orthopedic Physical Therapist in La Fayette, GA
• Providers in La Fayette, GA by specialty
• Orthopedic Physical Therapist in Georgia

• 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.
• 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.