Tiffany D Pickett, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29335 Issued in FL

Practice address

8199 Navarre Pkwy
Unit 12a
Navarre, FL 32566-6941

Phone

(850) 939-1233

Fax

(850) 939-5097

NPI assigned

Oct 31, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro Vita Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Crestview, FL
  • NPI 1790332351

  Physical Therapist

  Medicare reassignment NPD
• Premier Rehab Management, LLC

  • Physical Therapist
  • Navarre, FL
  • NPI 1821014390
  NPD (past)
• PT Solutions of Pensacola, LLC

  • Physical Therapist
  • Pensacola, FL
  • NPI 1730439092
  NPD (past)
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1053716175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 TECHNACENTER DR",
            "address_2": "SUITE 300",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176028",
            "telephone_number": "334-625-5795",
            "fax_number": "334-396-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 NAVARRE PKWY",
            "address_2": "UNIT 12A",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666941",
            "telephone_number": "850-939-1233",
            "fax_number": "850-939-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "TIFFANY",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y0P8J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Petrus-Purser, AP, L.AC
• Elianette Pettit, LCSW
• Stephanie M Pfiester, ARNP
• John Hunter Phillips III, MD
• Joshua D Pickett, DC
• Amanda McQueen Pinto, MS, CCC-SLP
• Dale Alton Pippin, MD
• Amber Poma
• Ofelia Popa
• Logan T Porter, MD

• Physical Therapist in Navarre, FL
• Providers in Navarre, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.