Latonya P Mister, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10520R Issued in LA

Practice address

1743 Swan Lake Rd Ste E
Bossier City, LA 71111-5366

Phone

(318) 553-5022

Fax

(318) 594-3088

NPI assigned

Jan 28, 2009

Last updated

Dec 18, 2023By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sow & Reap Physical Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Bossier City, LA
  • NPI 1346858941

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Core Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Warner Robins, GA
  • NPI 1982763744
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1639317704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 AIRLINE DR STE 300-288",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112946",
            "telephone_number": "601-405-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 SWAN LAKE RD STE E",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115366",
            "telephone_number": "318-553-5022",
            "fax_number": "318-594-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTER",
        "first_name": "LATONYA",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4653",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009525",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10520R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Milner, MD
• Sara Ashley Minard, M.S., CCC-SLP
• Mind & Body Wellness Center, LLC (Her Mind and Mini Minds)
• Mind Rehabilitation & Resource Center
• Diego A Miranda, MD
• Michelle D. Mitchell, LPC-S
• Shalese Mitchell
• Shauntrice Mitchell, A.S., MHS
• Carrie Moak, PHARMD
• Shannon L Moe, RN, APRN FNP-C

• Physical Therapist in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.