Individual provider Active NPI

Joan Latsch, LMT

  • Massage Therapist
  • Lehigh Acres, FL
National Provider Identifier
1487834040
Registry record updated Nov 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA41900 Issued in FL
Practice address
5019 3Rd St W
Lehigh Acres, FL 33971-1508
Phone
(239) 303-0250
NPI assigned
Nov 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA41900 FL Primary

Addresses

Primary practice location

5019 3Rd St W
Lehigh Acres, FL 33971-1508

Mailing address

5019 3Rd St W
Lehigh Acres, FL 33971-1508
Phone (239) 303-0250

Other identifiers 1

IdentifierTypeStateIssuer
MA41900OtherFLMASSAGE LICENSE

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

LicenseStateTypeSpecialty
MA41900FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194739200000",
    "number": "1487834040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 3RD ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711508",
            "telephone_number": "239-303-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 3RD ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711508",
            "telephone_number": "239-303-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATSCH",
        "first_name": "JOAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2007-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA41900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2007; 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.