Active NPI
Constance Latham, P.T.
- Physical Therapist
- Kenton, OH
National Provider Identifier
1851630420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.004535
- Practice address
- 117 Jacob Parrot Rd
Kenton, OH 43326-9506 - Phone
- (419) 674-4197
- NPI assigned
- Feb 2, 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 | PT.004535 | OH | Primary |
Addresses
Primary practice location
117 Jacob Parrot Rd
Kenton, OH 43326-9506
Mailing address
10605 Township Road 115
Kenton, OH 43326-9410
Phone (419) 673-8574
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 |
|---|---|---|---|
| PT.004535 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359763200000",
"number": "1851630420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10605 TOWNSHIP ROAD 115",
"city": "KENTON",
"state": "OH",
"postal_code": "433269410",
"telephone_number": "419-673-8574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 JACOB PARROT RD",
"city": "KENTON",
"state": "OH",
"postal_code": "433269506",
"telephone_number": "419-674-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "CONSTANCE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-02",
"last_updated": "2013-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.004535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.