Tiffany Sirmon Ollhoft, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA5995 Issued in AL

Practice address

300 Faulkner Dr
Bay Minette, AL 36507-2771

Phone

(251) 937-9881

Fax

(251) 937-9804

NPI assigned

Mar 24, 2015

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

Other names 1

• Tiffany Marie Sirmon Former name

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1144614512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FAULKNER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365072771",
            "telephone_number": "251-937-9881",
            "fax_number": "251-937-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FAULKNER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365072771",
            "telephone_number": "251-937-9881",
            "fax_number": "251-937-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLHOFT",
        "first_name": "TIFFANY",
        "middle_name": "SIRMON",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA5995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SIRMON",
            "middle_name": "MARIE",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapy Assistant in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.