Active NPI
Randolph Hayes Latimore, PT
- Physical Therapist
- Kissimmee, FL
National Provider Identifier
1316286156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207025
- Practice address
- 311 W Bass St
Kissimmee, FL 34741-5011 - Phone
- (407) 870-5959
- NPI assigned
- Feb 13, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305207025 | VA | Primary |
| Physical Therapist | 225100000X | PT27999 | FL |
Addresses
Primary practice location
311 W Bass St
Kissimmee, FL 34741-5011
Mailing address
311 W Bass St
Kissimmee, FL 34741-5011
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 |
|---|---|---|---|
| 2305207025 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Chiropractic Centers PA | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Chiropractor
- Clermont, FL
- NPI 1619963147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1316286156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W BASS ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W BASS ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415011",
"telephone_number": "407-870-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMORE",
"first_name": "RANDOLPH",
"middle_name": "HAYES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207025",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
- Larx, LLC
- Las Vegas MT76 Inc.
- Kalaysah M Lashley-Kennedy
- Hilda Marie Lassus McCloud
- Lasting Smiles of Kissimmee LLC (Columbia Dental Care and Associates)
- Latin Care Inc (Latin Care LLC)
- Latin Foundation for Health, Inc.
- Latin Urgent Care Inc
- Latino Leadership, Inc. (Latino Leadership Behavioral Health)
- Latino Leadership, Inc. Dba Santiago & Friends
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.