Mary Jane Jane Tiples

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29389 Issued in CA

Practice address

1319 N Madison St
Stockton, CA 95202-1001

Phone

(209) 466-4341

NPI assigned

Sep 9, 2018

Last updated

Sep 9, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1114400827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10126 KUHN RANCH WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N MADISON ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021001",
            "telephone_number": "209-466-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 E Hampton St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952045519",
            "country_code": "US",
            "telephone_number": "209-466-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPLES",
        "first_name": "MARY JANE",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tin Enterprise LLC (T-Care Pharmacy)
• Desiree Diana Tindell
• Sarah Ting
• Richard Nichols Tinney Jr., P.T.
• Galilea Tinoco
• Judee A. Tippett-Whyte, DDS
• Catherine Tippie, DPT
• Adithi Arvind Tirumalai, MD
• Ethan Hill Tittler, M.D.
• Lakshma R Tiyyagura, MD

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.