Individual provider Active NPI

Latara Hart, LOTR, MOT, CDP, ISTM

  • Occupational Therapist
  • Grand Prairie, TX
National Provider Identifier
1891060679
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118175 Issued in TX
Practice address
2993 S State Highway 360 Ste 200
Grand Prairie, TX 75052-8906
Phone
(817) 618-5550
Fax
(214) 988-1542
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 118175 TX
Pediatric Occupational Therapist 225XP0200X 118175 TX
Occupational Therapist 225X00000X 118175 TX Primary

Addresses

Primary practice location

2993 S State Highway 360 Ste 200
Grand Prairie, TX 75052-8906

Mailing address

PO Box 541885
Grand Prairie, TX 75054-1885
Phone (469) 580-9733

Other practice location 1

2909 E Arkansas Ln Ste C203
Arlington, TX 76010-6926
Phone (469) 580-9733

Other identifiers 1

IdentifierTypeStateIssuer
404282201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502002636 TX Practitioner - Occupational Therapist in Private Practice 0648512137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118175TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Consulting Services Occupational Therapist Current Accepting new patients

Locations

319 Osler Dr
Ste 160
Arlington, TX 76010
Phone (817) 618-5550

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1891060679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541885",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750541885",
            "telephone_number": "469-580-9733",
            "fax_number": "214-988-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 S STATE HIGHWAY 360 STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528906",
            "telephone_number": "817-618-5550",
            "fax_number": "214-988-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 E Arkansas Ln Ste C203",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760106926",
            "country_code": "US",
            "telephone_number": "469-580-9733",
            "fax_number": "214-988-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "LATARA",
        "credential": "LOTR, MOT, CDP, ISTM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TX",
            "license": "118175",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "118175",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404282201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.