Latoya D Crocker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203475 Issued in VA

Practice address

633D Medical Group, 77 Nealy Avenue
Langley AFB, VA 23665

Phone

(757) 764-5184

NPI assigned

Apr 4, 2006

Last updated

May 21, 2025By the provider in NPPES

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

Other identifiers 4

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1619939808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 PILOT HOUSE DRIVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633D MEDICAL GROUP, 77 NEALY AVENUE",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "23665",
            "telephone_number": "757-764-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "LATOYA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953015",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7080444",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PHY THERAPY",
            "identifier": "192965",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650025722",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Ciambotti, DMD
• Gary Leigh Cohen, M.D.
• Kathleen Ann Cole, DMD
• Kory Cornum, M.D.
• Anna M Crane, DNP, STUDENT
• Douglas B Curry, DDS
• Corey Lee Czajka, IDMT
• Victor De Leon, IDMT
• Jonathan Henry Desimone, DO
• Denise Michelle Dunklee, NURSE PRACTITIONER

• Physical Therapist in Langley AFB, VA
• Providers in Langley AFB, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.