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

Latrell Wade

Individual provider Physical Therapist · NPI 1871463380

Latrell Wade is a Physical Therapist in Private Practice in Louisville, Kentucky. Qualified in 2025, 1 year ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3052 Bardstown Rd
Louisville, KY 40205-3020
Phone: (502) 454-5544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2105 Hamburg Pike, Jeffersonville, IN 47130-6301 — (812) 590-0050

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence CP051580T (IN)

Record details

NPI number1871463380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Louisville