Tiffany Gibson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502000115 Issued in MI

Practice address

7445 Allen Rd Ste 102
Allen Park, MI 48101-1992

Phone

(313) 389-5600

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1083292940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 102",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011992",
            "telephone_number": "313-389-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 102",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011992",
            "telephone_number": "313-389-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgibson14742@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "7445 Allen Rd Ste 102",
            "city": "Allen Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481011992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martha Ellen Genig
• Elias G Gennaoui, MD
• Bruno Gervasi, DPT
• Get a Life Therapy, LLC
• Hiral Paresh Gheewala
• Carli Gilliam-Wood, QIDP
• Amanda Gledhill, DPT
• Goddard Clinic PC
• Suzette Marie Goff, DNP
• Rita Elizabeth Goines-McClain, DC

• Physical Therapy Assistant in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.