Tiffane Bennett O'Neil

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P14060 Issued in NC

Practice address

1107 New Pointe Blvd Ste B6
Leland, NC 28451-4128

Phone

(910) 399-1922

Fax

(866) 844-3505

NPI assigned

Mar 30, 2009

Last updated

Feb 20, 2023By the provider in NPPES

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 names 1

• Tiffane M Bennett Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Therapy Services IncGroup PAC ID 4981750122, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Core Therapy Services, Inc.

  dba Core Physical Therapy

  • Physical Therapist
  • Leland, NC
  • NPI 1407085418
  Medicare reassignment Care Compare group NPD
• Butler Family Chiropractic, PLLC

  • Chiropractor
  • Jacksonville, NC
  • NPI 1558134981
  NPD (past)
• Barman & Sargent Inc

  dba Diablo West Sports Medicine

  • Sports Physical Therapist
  • Menlo Park, CA
  • NPI 1225156524
  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1093957540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD STE B6",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514128",
            "telephone_number": "910-399-1922",
            "fax_number": "866-844-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NEW POINTE BLVD STE B6",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514128",
            "telephone_number": "910-399-1922",
            "fax_number": "866-844-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "TIFFANE",
        "middle_name": "BENNETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANE",
            "last_name": "BENNETT",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Novant Medical Group, Inc. (Batish Family Medicine)
• Novant Medical Group, Inc. (Cascade Primary Care)
• Marc H Nudelman, MD
• Matthew James O'Connell, DPT
• Kevin Matthew O'Connor, PA-C
• Casie O'Rourke
• Ocean Health Center, LLC
• Nnaebuka Henry Ononye
• Lindsey E Otero, D.D.S.
• Misael Josue Otero, DDS

• Physical Therapist in Leland, NC
• Providers in Leland, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.