Active NPI
Latisha E Yablon, PT
- Physical Therapist
- Foxworth, MS
National Provider Identifier
1831523174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1688
- Practice address
- 285 Holmes Pittman Rd
Foxworth, MS 39483-3166 - Phone
- (601) 736-3111
- Fax
- (601) 444-5036
- NPI assigned
- Aug 22, 2013
- Last updated
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PT1688 | MS | Primary |
Addresses
Primary practice location
285 Holmes Pittman Rd
Foxworth, MS 39483-3166
Mailing address
36 Greenbriar LN
Laurel, MS 39443-0719
Phone (601) 498-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1688 | Other | MS | MISSISSIPPI STATE BOARD OF PHYSICAL THERAPY |
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 |
|---|---|---|---|
| PT1688 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1831523174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 GREENBRIAR LN",
"city": "LAUREL",
"state": "MS",
"postal_code": "394430719",
"telephone_number": "601-498-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 HOLMES PITTMAN RD",
"city": "FOXWORTH",
"state": "MS",
"postal_code": "394833166",
"telephone_number": "601-736-3111",
"fax_number": "601-444-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YABLON",
"first_name": "LATISHA",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI STATE BOARD OF PHYSICAL THERAPY",
"identifier": "PT1688",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foxworth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.