Richard D. Latane, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070009201 Issued in IL

Practice address

1431 Opus PL
Executive Towers West1 Suite 310
Downers Grove, IL 60515-1166

Phone

(866) 902-4000

NPI assigned

May 13, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448496000000",
    "number": "1740414085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W 58TH ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592315",
            "telephone_number": "630-963-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OPUS PL",
            "address_2": "EXECUTIVE TOWERS WEST1 SUITE 310",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151166",
            "telephone_number": "866-902-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATANE",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2015-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Russell Larson, LCSW
• Jessica A Larson, M.ED., LMFT, LPC
• John Keith Larson, M. D.
• Matthew Larson, OD
• Thomas Edward Lassiter, DVM
• Jenny Ga-Yee Lau, O.D.
• Allie Marie Lauer
• Brendan William Lawler, BCBA
• Robert Christopher Lawler
• Lauren Elysse Lawson, APN

• Physical Therapist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.