Active NPI
Tiffany Frias, OTR/L
- Occupational Therapist
- Tracy, CA
National Provider Identifier
1023897469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24931
- Practice address
- 632 W 11TH St Ste 119
Tracy, CA 95376-3860 - Phone
- (209) 237-2484
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 24931 | CA | Primary |
Addresses
Primary practice location
632 W 11TH St Ste 119
Tracy, CA 95376-3860
Mailing address
2001 Cheyenne Way
Modesto, CA 95356-0704
Phone (209) 450-8549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24931 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1023897469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CHEYENNE WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953560704",
"telephone_number": "209-450-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 W 11TH ST STE 119",
"city": "TRACY",
"state": "CA",
"postal_code": "953763860",
"telephone_number": "209-237-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIAS",
"first_name": "TIFFANY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.