Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johan Latorre, MD, MS

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1053842112

Johan Latorre, MD, MS is a Physical Medicine and Rehabilitation in Birmingham, Alabama. Graduated from Pennsylvania State University College of Medicine in 2017, 9 years ago. Practices with Champion Sports Medicine Birmingham, LLC, a 187-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Michigan.

Years since qualifying
9
Trained at
Pennsylvania State University College of Medicine
Licensed in
AL, MI
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

Src 190 1717 6th Ave S
Birmingham, AL 35294-0001
Phone: (205) 975-8298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 500 22nd St S, Birmingham, AL 35233-3110 — (205) 934-8229
  • 500 22nd St S, Birmingham, AL 35233-3110 — (205) 934-8229
  • 500 University Dr, Hershey, PA 17033-2360 — (800) 243-1455

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 4351026956 (MI)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 44926 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053842112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorNo
NPI enumeratedMarch 21, 2017
Last updated in NPPESJune 30, 2023
Certification dateJune 16, 2022
Mailing addressSrc 190 1717 6th Ave S, Birmingham, AL 35294-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Champion Sports Medicine Birmingham, Llc — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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