DALLAS AZ LATO (PT) – Physical Therapist, NPI 1669468161
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,802 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ
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Provider Addresses for DALLAS AZ LATO (PT)
1052, East Westchester Drive, The Lakes, Tempe, Maricopa County, Arizona, 85283, United States
TEMPE, AZ 852833039
Phone: (480) 456-9126
Type: Mailing
Anva, 4850, East Baseline Road, Mesa, Maricopa County, Arizona, 85206, United States
SUITE 114
MESA, AZ 852064625
Phone: (480) 396-2781
Fax: (480) 854-3094
Type: Location
4850 E BASELINE RD STE 114
MESA, AZ 852064626
Phone: (480) 396-2781
Fax: (480) 854-3094
Type: Mailing
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: 2005-09-29
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050929001292 | I | Physical Therapist In Private Practice | AZ | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,297 | 91 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 811 | 74 | $0 |
| 97016 | Application of blood vessel compression device | 658 | 67 | $0 |
| 97530 | Therapy procedure using functional activities | 516 | 81 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 162 | 24 | $0 |
Insurance plans in this area (ZIP 85283)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | AZ | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 583 | 72 |
| PHYSICAL THERAPY | AZ | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 730 | 71 |
| PHYSICAL THERAPY | AZ | 97535 | Self-care or home management training, each 15 minutes | 35 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Undefined Non Physician Type (Specify), Physical Therapist In Private Practice | AZ |
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