Healthcare Provider Details

I. General information

NPI: 1992626386
Provider Name (Legal Business Name): YMANI LATTY PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

501 SAINT PAUL ST APT 511
BALTIMORE MD
21202-2273
US

V. Phone/Fax

Practice location:
  • Phone: 410-614-3234
  • Fax:
Mailing address:
  • Phone: 954-803-5399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30949
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: