Active NPI
Latisha Denise Washington, OT
- Occupational Therapist
- Columbia, SC
National Provider Identifier
1073862223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3998
- Practice address
- 130 Forum Dr Ste 13
Columbia, SC 29229-7943 - Phone
- (803) 509-6880
- NPI assigned
- Sep 4, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3998 | SC | Primary |
Addresses
Primary practice location
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (972) 850-3940
Other practice location 1
3016 Longtown Commons Dr Ste 305
Columbia, SC 29229-7864
Phone (803) 314-0529
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwashington140431@direct.lexmed.com | ||
| Direct Messaging Address | lwashington140431@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Forum Dr
Suite 13
Columbia, SC 29229-7943
Phone (803) 509-6880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 3
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.
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- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1073862223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "972-850-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FORUM DR STE 13",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297943",
"telephone_number": "803-509-6880"
}
],
"practiceLocations": [
{
"address_1": "3016 Longtown Commons Dr Ste 305",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292297864",
"country_code": "US",
"telephone_number": "803-314-0529",
"fax_number": "803-314-0543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHINGTON",
"first_name": "LATISHA",
"middle_name": "DENISE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3998",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwashington140431@direct.lexmed.com",
"affiliation": "N",
"address_1": "3016 Longtown Commons Dr Ste 305",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292297864",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwashington140431@direct.lexmed.com",
"affiliation": "N",
"address_1": "3016 Longtown Commons Dr Ste 305",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292297864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.