Individual provider Active NPI

Callie E Latham, PT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1790238129
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006897 Issued in KY
Practice address
9400 Williamsburg PLZ
Suite 100
Louisville, KY 40222-5093
Phone
(502) 412-4486
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 006897 KY Primary

Addresses

Primary practice location

9400 Williamsburg PLZ
Suite 100
Louisville, KY 40222-5093

Mailing address

11805 Duane Point Cir
Apt 204
Louisville, KY 40243-1784
Phone (270) 977-7785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110001552 KY Practitioner - Physical Therapist in Private Practice 0941581797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Nov 12, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Nov 12, 2022 Accepting new patients

Locations

875 Pennsylvania Ave
#A
Bardstown, KY 40004
Phone (502) 349-6961

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

1212 Market St
Lagrange, KY 40031
Phone (502) 225-9981

9300 Stonestreet Rd
Ste 400
Louisville, KY 40272
Phone (502) 935-8061

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

10631 Dixie Hwy
Louisville, KY 40272
Phone (502) 447-2750

9451 Westport Rd
Ste B
Louisville, KY 40241
Phone (502) 261-1950

7926 Preston Hwy
Ste 101
Louisville, KY 40219
Phone (502) 298-5658

1227 Goss Ave
Louisville, KY 40217
Phone (502) 636-1200

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979

3509 S Hurstbourne Pkwy
Louisville, KY 40299
Phone (502) 537-7070

4010 DuPont Cir
Ste L14
Louisville, KY 40207
Phone (502) 899-1911

4430 Crawford Ave
Louisville, KY 40258
Phone (502) 995-2705

3584 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-4700

2226 Holiday Manor Ctr
Ste 9
Louisville, KY 40222
Phone (502) 537-7870

2901 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-6307

315 E Broadway
Ste 195
Louisville, KY 40202
Phone (502) 589-5961

9880 Angies Way
Ste 100
Lyndon, KY 40241
Phone (502) 209-0649

160 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 257-8452

1868 W Hebron Ln
Ste 101
Shepherdsville, KY 40165
Phone (502) 955-7724

4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750

Organizations & group practices 3

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1790238129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 DUANE POINT CIR",
            "address_2": "APT 204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431784",
            "telephone_number": "270-977-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 WILLIAMSBURG PLZ",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225093",
            "telephone_number": "502-412-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "CALLIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.