LATASHA N NUNN (OTR/L) – Occupational Therapist, NPI 1053153858

LATASHA N NUNN (OTR/L) is a healthcare provider. based in Fairfield, Alabama. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 5432 (AL). The NPI Number for LATASHA N NUNN (OTR/L) is 1053153858

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LATASHA N NUNN (OTR/L)
NPI
1053153858
Phone
(205) 601-0488
Address
501 FAIR OAKS DR
Enumeration Date
11 June 2024
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9728431922
Graduation Year
2018 (8 years ago)
PAC ID
9931618873
Group Practice PAC ID
6204079163
Professional Enrollment ID
I20250603001311
Address ID
TX752484791DA15250BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

223 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for LATASHA N NUNN (OTR/L)

  • 501 FAIR OAKS DR

    FAIRFIELD, AL 350642422

    Phone: (205) 601-0488

    Type: Mailing

  • 1250 JEFF GERMANY PKWY

    BIRMINGHAM, AL 352144484

    Phone: (205) 796-0214

    Type: Location

  • 529 Beacon Pkwy W Ste 101

    Birmingham, AL 352093126

    Phone: (256) 365-6097

    Type: Location

  • 501 Fair Oaks Dr

    Fairfield, AL 350642422

    Phone: (205) 601-0488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250603001311IOccupational Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204079163View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeAR
Qualified Speech Language PathologistTX
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeKY
Occupational Therapist In Private PracticeMO
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

Does LATASHA N NUNN (OTR/L) have a public NPI I can cite?
Public records show LATASHA N NUNN (OTR/L) under NPI 1053153858.
Is LATASHA N NUNN (OTR/L) currently accepting referrals based on NPI status?
Registry metadata lists LATASHA N NUNN (OTR/L) as active.
Which specialty label fits LATASHA N NUNN (OTR/L)?
NPPES ties LATASHA N NUNN (OTR/L) to Occupational Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit LATASHA N NUNN (OTR/L) in Fairfield, Alabama?
For routing, start with Fairfield, Alabama for LATASHA N NUNN (OTR/L), then verify phone and hours locally.
Why is information missing for LATASHA N NUNN (OTR/L)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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