Active NPI
Gary Latour, P.T.
- Physical Therapist
- Teaneck, NJ
National Provider Identifier
1629104336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00819100
- Practice address
- 80 Bergen Ave Apt 13D
Teaneck, NJ 07666-3874 - Phone
- (201) 803-3137
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 40QA00819100 | NJ | Primary |
Addresses
Primary practice location
80 Bergen Ave Apt 13D
Teaneck, NJ 07666-3874
Mailing address
80 Bergen Ave Apt 13D
Teaneck, NJ 07666-3874
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 |
|---|---|---|---|
| 40QA00819100 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629104336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BERGEN AVE APT 13D",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BERGEN AVE APT 13D",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663874",
"telephone_number": "201-803-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATOUR",
"first_name": "GARY",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00819100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
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- Lasting Impressions Dentistry LLC
- Brett Coleman Lastra, RN, BSN
- Rosa N Lavergne, PH.D.
- Anna Janna Lavotshkin, MD
- Monica Sharnise Lawrence-Chambers, RN
- Charles Nash Lawson, MD
- Julie Ann Lazar-Reskakis, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.