Active NPI
Tiffany N Peek
- Physical Therapy Assistant
- Irving, TX
National Provider Identifier
1043538804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A7480
- Practice address
- 3232 W Royal LN
Irving, TX 75063-3105 - Phone
- (972) 830-4341
- Fax
- (877) 869-4330
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A7480 | LA | Primary |
Addresses
Primary practice location
3232 W Royal LN
Irving, TX 75063-3105
Mailing address
1313 Anita St
Bossier City, LA 71112-3103
Phone (318) 752-0939
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 |
|---|---|---|---|
| A7480 | LA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1043538804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 ANITA ST",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711123103",
"telephone_number": "318-752-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 W ROYAL LN",
"city": "IRVING",
"state": "TX",
"postal_code": "750633105",
"telephone_number": "972-830-4341",
"fax_number": "877-869-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEK",
"first_name": "TIFFANY",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "LA",
"license": "A7480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
- Pediatric Diagnostic Services, PA
- Pediatric Eyecare of North Texas, PLLC
- Pediatric Health Specialists, Inc
- Pediatric Speech Stars, PLLC
- Pediatrics & General Practice, PLLC
- Shatyra B Peevy
- Joseph M. Pelle, DMD, MS
- Merritt Arthur Pember II, MD
- Margarita Pena-Obando, DC
- Elizabeth Tommie Pena, ELIZABETH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.