Kendra Renee Laratta, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

08903 Issued in OR

Practice address

1485 NE 7TH St
Grants Pass, OR 97526-1303

Phone

(800) 958-2588

NPI assigned

May 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1508277906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 COYOTE CREEK RD",
            "city": "WOLF CREEK",
            "state": "OR",
            "postal_code": "974979609",
            "telephone_number": "541-441-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261303",
            "telephone_number": "800-958-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARATTA",
        "first_name": "KENDRA",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Evan Lang
• Deborah J Lang, LAC
• Maisha Langella, O.D.
• Patti Lanham, RN
• Angelina Lara, RN, FNP
• Stephen Lard, CHW
• Jennifer Larson, PHARMD
• Jill Denise Lary, RN, FNP-C
• Matthew E Lassfolk, R.PH., M.S.
• Rachel Lasuer

• Physical Therapy Assistant in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Physical Therapy Assistant in Oregon

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

Verify at the official NPI Registry.