Active NPI
Latoya K Tate, DPT
- Specialist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT010409
- Practice address
- 5240 Snapfinger Park Dr
Ste 130
Decatur, GA 30035-4059 - Phone
- (770) 322-7003
- Fax
- (770) 322-7630
- NPI assigned
- Aug 5, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT010409 | GA | Primary |
Addresses
Primary practice location
5240 Snapfinger Park Dr
Ste 130
Decatur, GA 30035-4059
Mailing address
2506 Treecrest Pkwy
Decatur, GA 30035-3579
Phone (919) 358-6642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
375 Country Club Dr
Stockbridge, GA 30281-7351
Phone (678) 272-2092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Rehabilitation-Georgia Inc | Current | Accepting new patients | |
| Vessel Physical Therapy LLC | Current | Accepting new patients | |
| Matrix Rehabilitation-Georgia Inc | Past | Accepting new patients |
Locations
5240 Snapfinger Park Dr
Ste 130
Decatur, GA 30035
Phone (770) 322-7003
234 Jonesboro Rd
McDonough, GA 30253
Phone (770) 954-9631
375 Country Club Dr
Stockbridge, GA 30281
Phone (678) 272-2092
Organizations & group practices 3
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
- Stockbridge, GA
- NPI 1780420398
-
- Physical Therapy Clinic/Center
- McDonough, GA
- NPI 1659302966
-
- Physical Therapy Clinic/Center
- McDonough, GA
- NPI 1427089853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1952680126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 TREECREST PKWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300353579",
"telephone_number": "919-358-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 SNAPFINGER PARK DR",
"address_2": "STE 130",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354059",
"telephone_number": "770-322-7003",
"fax_number": "770-322-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "LATOYA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "PT010409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.