Active NPI
Richard Latimer, P.T.,A.T.C
- Physical Therapist
- Tallahassee, FL
National Provider Identifier
1831228535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7415
- Practice address
- 3334 Capital Medical Blvd
Suite 300
Tallahassee, FL 32308-8405 - Phone
- (850) 877-8855
- Fax
- (850) 877-7627
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7415 | FL | Primary |
Addresses
Primary practice location
3334 Capital Medical Blvd
Suite 300
Tallahassee, FL 32308-8405
Mailing address
1846 Wagon Wheel Cir E
Tallahassee, FL 32317-7437
Phone (850) 877-8855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884217500 | Medicaid | FL |
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 |
|---|---|---|---|
| PT7415 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic & Sports Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Tallahassee Orthopedic & Sports Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Crawfordville, FL
- NPI 1114057957
-
- Physical Therapist
- Tallahassee, FL
- NPI 1376593053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1831228535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1846 WAGON WHEEL CIR E",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323177437",
"telephone_number": "850-877-8855",
"fax_number": "850-877-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD",
"address_2": "SUITE 300",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088405",
"telephone_number": "850-877-8855",
"fax_number": "850-877-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "RICHARD",
"credential": "P.T.,A.T.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "884217500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.