Individual provider Active NPI

Tiffany Christine Thomsen, OTR/L

  • Occupational Therapist
  • Plantation, FL
National Provider Identifier
1093063000
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15410 Issued in FL
Practice address
9401 Sea Turtle LN
Plantation, FL 33324-2911
Phone
(561) 213-4538
NPI assigned
Aug 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT15410 FL Primary
Pediatric Occupational Therapist 225XP0200X OT15410 FL

Addresses

Primary practice location

9401 Sea Turtle LN
Plantation, FL 33324-2911

Mailing address

9401 Sea Turtle LN
Plantation, FL 33324-2911
Phone (561) 213-4538

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

LicenseStateTypeSpecialty
OT15410FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Progress Therapy Services, LLC Occupational Therapist Current Accepting new patients

Locations

398 Camino Gardens Blvd
Ste 207
Boca Raton, FL 33432
Phone (561) 210-5125

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.

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345593600000",
    "number": "1093063000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 SEA TURTLE LN",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242911",
            "telephone_number": "561-213-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 SEA TURTLE LN",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242911",
            "telephone_number": "561-213-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "TIFFANY",
        "middle_name": "CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15410",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT15410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.