Individual provider Active NPI

Tiffany Moriarity, D.P.T.

  • Orthopedic Physical Therapist
  • Rogers, MN
National Provider Identifier
1134667686
Registry record updated Feb 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
10033 Issued in MN
Practice address
13690 Rogers Dr Ste 180
Rogers, MN 55374-9309
Phone
(612) 670-9026
NPI assigned
Feb 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 10033 MN Primary

Addresses

Primary practice location

13690 Rogers Dr Ste 180
Rogers, MN 55374-9309

Mailing address

13690 Rogers Dr Ste 180
Rogers, MN 55374-9309
Phone (612) 670-9026

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1134667686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 ROGERS DR STE 180",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749309",
            "telephone_number": "612-670-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 ROGERS DR STE 180",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749309",
            "telephone_number": "612-670-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARITY",
        "first_name": "TIFFANY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "10033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; 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.