Individual provider Active NPI

Daiane Trevisan Latosinski, PT

  • Physical Therapist
  • Garner, NC
National Provider Identifier
1831567049
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16658 Issued in NC
Practice address
510 Timber Dr E Ste 102
Garner, NC 27529-5285
Phone
(919) 500-5003
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P16658 NC Primary
Physical Therapist 225100000X 070021362 IL

Addresses

Primary practice location

510 Timber Dr E Ste 102
Garner, NC 27529-5285

Mailing address

210 Moravia LN
Cary, NC 27513-5745
Phone (630) 575-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430000600 NC Practitioner - Physical Therapist in Private Practice 9032427018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands on Physical Therapy IncGroup PAC ID 9739144767, 3 clinicians
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians

Practice addresses (Care Compare)

1439 N Main St
Fuquay Varina, NC 27526-9024
Phone (919) 557-2111

510 Timber Dr E
Suite 102
Garner, NC 27529-5285
Phone (919) 500-5003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy, Inc Physical Therapist CurrentSince Sep 28, 2025 Accepting new patients
Hands on Physical Therapy, Inc Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Hands on Physical Therapy, Inc CurrentSince Nov 18, 2024 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Metrolina Nephrology Associates, PA PastSince Dec 21, 2025 Accepting new patients

Locations

590 New Waverly Pl
Ste 220
Cary, NC 27518
Phone (919) 851-0711

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

1439 N Main St
Fuquay Varina, NC 27526
Phone (919) 557-2111

510 Timber Dr E
Ste 102
Garner, NC 27529
Phone (919) 500-5003

Organizations & group practices 5

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1831567049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MORAVIA LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135745",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TIMBER DR E STE 102",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295285",
            "telephone_number": "919-500-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVISAN LATOSINSKI",
        "first_name": "DAIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16658",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.