Tiffany Ann Clements, COTA
Individual provider Active NPI Occupational Therapy Assistant · Abbott, TX
NPI 1124685698 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1124685698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 214752 (TX)
- Practice address
- 500 S 3Rd St
Abbott, TX 76621-3032 - Phone
- (254) 723-4820
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214752 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 214752 | TX | Yes |
Addresses
Primary practice location
500 S 3Rd St
Abbott, TX 76621-3032
Mailing address
500 S 3Rd St
Abbott, TX 76621-3032
Other providers in Abbott, TX
All providers in Abbott, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.