Jeffrey D Latz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25497 Issued in CA

Practice address

208 Concourse Blvd Ste 2
Santa Rosa, CA 95403-8210

Phone

(707) 303-4992

Fax

(707) 303-4996

NPI assigned

Sep 13, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Backtogolf Performance and Fitness IncGroup PAC ID 2961457304, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

60.29 of 100Reported as group

Quality

25

Improvement activities

40

Cost

67.64

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Backtogolf Performance & Fitness Inc

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1669571188
  Medicare reassignment Care Compare group NPD
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1497850598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954920010",
            "telephone_number": "707-837-7980",
            "fax_number": "707-837-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CONCOURSE BLVD STE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038210",
            "telephone_number": "707-303-4992",
            "fax_number": "707-303-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5803 Skylane Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CA",
            "postal_code": "954926836",
            "country_code": "US",
            "telephone_number": "707-837-7980",
            "fax_number": "707-837-7983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATZ",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV ID #",
            "identifier": "ZZZ00793Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP ID#",
            "identifier": "ZZZ23118Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Latimer, RN, NP
• Diana Latorre
• Teresa Latourelle
• Rachel Latta, CNM
• Lattice Educational Services
• Deanna Lau, D.O.
• Laurence H. Smith, M.D., Inc.
• Pauline Laurent, CPCC,BCC,BS
• Stewart Lauterbach, M.D.
• Elia Luna Lavado Arnal

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.