Active NPI
Julie Latarewicz, PT
- Physical Therapist
- Rochester, MI
National Provider Identifier
1538635883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501003021
- Practice address
- Ascension Providence Rochester Hospital
1101 West University Drive
Rochester, MI 48307 - Phone
- (248) 652-5000
- NPI assigned
- Oct 15, 2018
- 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 Therapist | 225100000X | 5501003021 | MI | Primary |
Addresses
Primary practice location
Ascension Providence Rochester Hospital
1101 West University Drive
Rochester, MI 48307
Mailing address
Ascension Providence Rochester Hospital
1101 West University Drive
Rochester, MI 48307
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 |
|---|---|---|---|
| 5501003021 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1538635883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ASCENSION PROVIDENCE ROCHESTER HOSPITAL",
"address_2": "1101 WEST UNIVERSITY DRIVE",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "48307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ASCENSION PROVIDENCE ROCHESTER HOSPITAL",
"address_2": "1101 WEST UNIVERSITY DRIVE",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "48307",
"telephone_number": "248-652-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATAREWICZ",
"first_name": "JULIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501003021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.