Active NPI
Jacob Latkofsky, PT, DPT
- Physical Therapist
- Wilson, NC
National Provider Identifier
1780428466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP058414T
- Practice address
- 1705 Tarboro St SW
Wilson, NC 27893-3437 - Phone
- (252) 399-8040
- NPI assigned
- Jun 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021215 | OH | |
| Physical Therapist | 225100000X | 5501304465 | MI | |
| Physical Therapist | 225100000X | CP058414T | NC | Primary |
Addresses
Primary practice location
1705 Tarboro St SW
Wilson, NC 27893-3437
Mailing address
7387 Woodcroft Dr
Anderson Township, OH 45230-4310
Phone (567) 277-8306
Other practice location 1
4615 Marburg Ave
Cincinnati, OH 45209-5005
Phone (513) 891-9940
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021215 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1780428466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7387 WOODCROFT DR",
"city": "ANDERSON TOWNSHIP",
"state": "OH",
"postal_code": "452304310",
"telephone_number": "567-277-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 TARBORO ST SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278933437",
"telephone_number": "252-399-8040"
}
],
"practiceLocations": [
{
"address_1": "4615 Marburg Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452095005",
"country_code": "US",
"telephone_number": "513-891-9940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATKOFSKY",
"first_name": "JACOB",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-19",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT021215",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304465",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP058414T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Meredith Lane, DPT
- Richard Gregory Langellotti, O.D.
- Jean Langston, PT
- Kylee Jai Lashomb
- Linda Osment Lathan, FNP
- Maryrussell Wagstaff Laurent, PHARMD, MSCR, BCPS
- Clarissa G Lawrence, MD
- Le Chris Adult Day Care of Rocky Mount, Inc.
- Le Chris Health Systems of Wilson, Inc
- Lechris Adult Day Care of Rocky Mount, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.