Individual provider Active NPI

Latoya M Thompson, D.P.T

  • Physical Therapist
  • Detroit, MI
National Provider Identifier
1194966671
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014385 Issued in MI
Practice address
261 Mack Ave
Detroit, MI 48201-2495
Phone
(313) 745-1100
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501014385 MI Primary

Addresses

Primary practice location

261 Mack Ave
Detroit, MI 48201-2495

Mailing address

29822 S Wixom Rd
Wixom, MI 48393-3434
Phone (248) 926-5826

Other practice location 1

29822 S Wixom Rd
Wixom, MI 48393-3434
Phone (248) 926-5826

Other practice location 2

261 Mack Ave
Detroit, MI 48201-2417
Phone (313) 745-1100

Other names 1

  • Latoya M Taylor Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1194966671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29822 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933434",
            "telephone_number": "248-926-5826",
            "fax_number": "248-926-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012495",
            "telephone_number": "313-745-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29822 S Wixom Rd",
            "address_purpose": "LOCATION",
            "city": "Wixom",
            "state": "MI",
            "postal_code": "483933434",
            "country_code": "US",
            "telephone_number": "248-926-5826",
            "fax_number": "248-926-5830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012417",
            "country_code": "US",
            "telephone_number": "313-745-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LATOYA",
        "middle_name": "M",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOYA",
            "last_name": "TAYLOR",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.