Active NPI
Tiffany Meadows
- Physical Therapist
- Russellville, AR
National Provider Identifier
1063535409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2688
- Practice address
- 1301 Russell Rd
Russellville, AR 72802-4320 - Phone
- (479) 967-2316
- Fax
- (479) 967-3639
- NPI assigned
- Apr 9, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2688 | AR | Primary |
Addresses
Primary practice location
1301 Russell Rd
Russellville, AR 72802-4320
Mailing address
P.O. Drawer 2109
Russellville, AR 72811-2109
Phone (479) 967-2322
Other practice location 1
1500 Cheri Whitlock
Siloam Springs, AR 72761-4220
Phone (479) 524-2456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152099721 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendship Community Care Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Russellville, AR
- NPI 1528144318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1063535409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. DRAWER 2109",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728112109",
"telephone_number": "479-967-2322",
"fax_number": "479-967-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 RUSSELL RD",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728024320",
"telephone_number": "479-967-2316",
"fax_number": "479-967-3639"
}
],
"practiceLocations": [
{
"address_1": "1500 Cheri Whitlock",
"address_purpose": "LOCATION",
"city": "Siloam Springs",
"state": "AR",
"postal_code": "727614220",
"country_code": "US",
"telephone_number": "479-524-2456",
"fax_number": "479-373-1129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADOWS",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152099721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.