Active NPI
Tiffany Horne, OTR
- Occupational Therapist
- College Station, TX
National Provider Identifier
1063242519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124828
- Practice address
- 2305 Longmire Dr Ste 300
College Station, TX 77845-7034 - Phone
- (979) 715-3721
- NPI assigned
- Aug 7, 2024
- 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 | 124828 | TX | Primary |
Addresses
Primary practice location
2305 Longmire Dr Ste 300
College Station, TX 77845-7034
Mailing address
934 Crepe Myrtle St
College Station, TX 77845-7288
Phone (936) 348-1847
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 |
|---|---|---|---|
| 124828 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1063242519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 CREPE MYRTLE ST",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778457288",
"telephone_number": "936-348-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 LONGMIRE DR STE 300",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778457034",
"telephone_number": "979-715-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "TIFFANY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.