Active NPI
Latalvia Paramore, PT
- Physical Therapist
- Ellenwood, GA
National Provider Identifier
1063677201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007375
- Practice address
- 3056 Anvil Block Rd Ste 118
Ellenwood, GA 30294-2864 - Phone
- (404) 366-8100
- NPI assigned
- Jul 28, 2008
- 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 | PT007375 | GA | Primary |
Addresses
Primary practice location
3056 Anvil Block Rd Ste 118
Ellenwood, GA 30294-2864
Mailing address
7606 Hilltop Way
College Park, GA 30349-7960
Phone (404) 375-7901
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 |
|---|---|---|---|
| PT007375 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063677201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7606 HILLTOP WAY",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303497960",
"telephone_number": "404-375-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3056 ANVIL BLOCK RD STE 118",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942864",
"telephone_number": "404-366-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAMORE",
"first_name": "LATALVIA",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.