Active NPI
Latanya Beatrice Lemon, PTA
- Physical Therapy Assistant
- Revere, MA
National Provider Identifier
1407297161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8636
- Practice address
- 185 Squire Rd
Revere, MA 02151-1234 - Phone
- (781) 284-0559
- NPI assigned
- Jul 10, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8636 | MA | Primary |
Addresses
Primary practice location
185 Squire Rd
Revere, MA 02151-1234
Mailing address
814 Main St
Apt. 2R
Malden, MA 02148-2611
Phone (718) 926-2486
Other names 1
- Mrs. Latanya Beatrice Lemon-Cumper
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 |
|---|---|---|---|
| 8636 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1407297161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 MAIN ST",
"address_2": "APT. 2R",
"city": "MALDEN",
"state": "MA",
"postal_code": "021482611",
"telephone_number": "718-926-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SQUIRE RD",
"city": "REVERE",
"state": "MA",
"postal_code": "021511234",
"telephone_number": "781-284-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMON",
"first_name": "LATANYA",
"middle_name": "BEATRICE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "8636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATANYA",
"last_name": "LEMON-CUMPER",
"middle_name": "BEATRICE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.