Dallas Az Lato, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3551 Issued in AZ

Practice address

4850 E Baseline Rd
Suite 114
Mesa, AZ 85206-4625

Phone

(480) 396-2781

Fax

(480) 854-3094

NPI assigned

Sep 21, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arenson Wasserbeck LLCGroup PAC ID 8426032061, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Arenson Wasserbeck LLC

  • Physical Therapist
  • Mesa, AZ
  • NPI 1316946379
  Medicare reassignment Care Compare group NPD
• Aw Broadway and Craycroft, LLC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1588386494
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1669468161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064626",
            "telephone_number": "480-396-2781",
            "fax_number": "480-854-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E BASELINE RD",
            "address_2": "SUITE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064625",
            "telephone_number": "480-396-2781",
            "fax_number": "480-854-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATO",
        "first_name": "DALLAS",
        "middle_name": "AZ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960379",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Afrin Lasker, RPH
• Maureen Lassen, PH.D.
• Last Minute Health Check PLLC
• Zainalabdeen Lateef
• Laura R Latimer, PHARM.D
• Nicole Desiree Lattanzio, RDN
• Sarah Anna Lau-Braunhut, M.D.
• Brandie Lee Lau, PHARM. D.
• Caleb Lau
• Sarah Lauchnor

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.