Lamphoun Lata, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001442 Issued in IA

Practice address

5921 SE 14TH St Ste 2000
Des Moines, IA 50320-1728

Phone

(515) 965-5311

Fax

(515) 965-5301

NPI assigned

Aug 19, 2010

Last updated

Aug 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1497061170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 SE 14TH ST STE 2000",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201728",
            "telephone_number": "515-965-5311",
            "fax_number": "515-965-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 SE 14TH ST STE 2000",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201728",
            "telephone_number": "515-965-5311",
            "fax_number": "515-965-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATA",
        "first_name": "LAMPHOUN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "001442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "001442",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Larson, LCSW, LISW
• Kathleen Noelle Larson, MA, BCBA
• Shelly Kay Larson, R.PH.
• Tyler J Larson, MD
• Zoe Larson, RN
• Joseph Xavier Latella Jr., LMSW
• Susan Lathrop, ARNP
• Dana Michelle Latimer, MSN RN
• Maria Theresa Latoja-Lovan, ARNP
• Adrienne Latoure

• Physical Therapy Assistant in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.