Active NPI
Tristan Latorre
- Physical Therapist
- Humble, TX
National Provider Identifier
1205293933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1259273
- Practice address
- 8450 Will Clayton Pkwy
Humble, TX 77338-5830 - Phone
- (281) 446-8484
- NPI assigned
- Jan 26, 2016
- Sex
- Male
- 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 | 1259273 | TX | Primary |
Addresses
Primary practice location
8450 Will Clayton Pkwy
Humble, TX 77338-5830
Mailing address
2751 Meandering TRL
Kingwood, TX 77339-1015
Phone (706) 271-7197
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1259273 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1205293933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 MEANDERING TRL",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773391015",
"telephone_number": "706-271-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8450 WILL CLAYTON PKWY",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385830",
"telephone_number": "281-446-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATORRE",
"first_name": "TRISTAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1259273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.