Individual provider Active NPI

Tiffany Marie Nosse

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1154643054
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 29218 Issued in FL
Practice address
8845 N Military TRL
#300
West Palm Beach, FL 33410-6298
Phone
(561) 223-3872
NPI assigned
Feb 18, 2010
Last updated
Oct 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36410 CA
Physical Therapist 225100000X PT 29218 FL Primary

Addresses

Primary practice location

8845 N Military TRL
#300
West Palm Beach, FL 33410-6298

Mailing address

8845 N Military TRL
#300
West Palm Beach, FL 33410-6298
Phone (561) 223-3872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100608000571 CA Practitioner - Physical Therapist in Private Practice 3779613369 Reassigns benefits to 1 organization
I20150602001856 FL Practitioner - Physical Therapist in Private Practice 3779613369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State-of-the-Art Physical Therapy, Inc.Group PAC ID 5496948952, 10 clinicians

Practice addresses (Care Compare)

2492 Walnut Ave
Suite 140
Tustin, CA 92780-6953
Phone (714) 544-2188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 29218FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy of Palm Beach Gardens LLC Physical Therapist CurrentSince Nov 1, 2014 Accepting new patients
Restorative Therapy Associates Physical Therapist Past Accepting new patients
Prosport Physical Therapy Professionals Inc PastSince Sep 25, 2015 Accepting new patients
Shadow Management Services, Inc. Physical Therapist Past Accepting new patients
Evolve Integrated Wellness and Physical Therapy PC Physical Therapist Past Accepting new patients
Restorative Therapy Associates Physical Therapist Past Accepting new patients

Locations

1001 N US Highway 1
Ste 102
Jupiter, FL 33477
Phone (561) 277-9011

300 Avenue of the Champions
Ste 100
West Palm Beach, FL 33418
Phone (561) 223-3872

8845 N Military Trl
Ste 300
West Palm Beach, FL 33410
Phone (561) 223-3872

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1154643054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 N MILITARY TRL",
            "address_2": "#300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106298",
            "telephone_number": "561-223-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 N MILITARY TRL",
            "address_2": "#300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106298",
            "telephone_number": "561-223-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSSE",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36410",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 29218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.