Individual provider Active NPI

Latansey Temera Germany, PT

  • Physical Therapist
  • Social Circle, GA
National Provider Identifier
1700817392
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008606 Issued in GA
Practice address
621 N Cherokee Rd
Oxton Village of Social Circle
Social Circle, GA 30025-2877
Phone
(770) 464-4211
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008606 GA Primary

Addresses

Primary practice location

621 N Cherokee Rd
Oxton Village of Social Circle
Social Circle, GA 30025-2877

Mailing address

621 N Cherokee Rd
Oxton Village of Social Circle
Social Circle, GA 30025-2877
Phone (770) 464-4211

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008606GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Cantrell Center for Physical Therapy and Sports Medicine, P.C. PastSince Jan 23, 2010 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1700817392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N CHEROKEE RD",
            "address_2": "OXTON VILLAGE OF SOCIAL CIRCLE",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300252877",
            "telephone_number": "770-464-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N CHEROKEE RD",
            "address_2": "OXTON VILLAGE OF SOCIAL CIRCLE",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300252877",
            "telephone_number": "770-464-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANY",
        "first_name": "LATANSEY",
        "middle_name": "TEMERA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Social Circle, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.