La'Toria Evans, LPTA
Individual provider Active NPI Physical Therapy Assistant · Wiggins, MS
NPI 1225488281 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1225488281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA 4590 (MS)
- Practice address
- 1434 Central Ave E
Wiggins, MS 39577-9602 - Phone
- (601) 928-1889
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 4590 | MS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 4590 | MS | Yes |
Addresses
Primary practice location
1434 Central Ave E
Wiggins, MS 39577-9602
Mailing address
1436 Central Ave E
Wiggins, MS 39577-9602
Other practice location 1
2279 Atkinson Rd
Biloxi, MS 39531-2209
Phone (228) 388-1805
Other providers in Wiggins, MS
- Elite Mississippi Transit Inc
- Elite Mississippi Transportation LLC
- Elite Transit LLC
- James Ryan Ellis
- Belinda Evans
- Teketra Evans
- Tori Fairley
- Flint Creek Physical Therapy, LLC
- Hannah Leigh Fore
- Willimae Fulton
All providers in Wiggins, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.