Latasha Renee Golston, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004699A Issued in IN

Practice address

113 S 43Rd St
Louisville, KY 40212-2611

Phone

(502) 418-9478

NPI assigned

Oct 8, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Fox Rehabilitation Services Ky LLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1811754112

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1649421603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S 43RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122611",
            "telephone_number": "502-418-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S 43RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122611",
            "telephone_number": "502-418-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSTON",
        "first_name": "LATASHA",
        "middle_name": "RENEE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004699A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES KY LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9251 Stonestreet Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402722858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Goldy, LCSW
• Aishwarya Gollamudi, BA
• Anusha Gollamudi, MEDICAL STUDENT (MD)
• Veronika Golod, RN
• Matthew Golonka
• Tori Riana Golston, DMD
• Vesna Golubovic
• Josephine P Gomes, M.D.
• Aurora Gomez, RBT
• Krystal Gomez, ATC

• Occupational Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.