Tiffany Ho Cao, DPT
Individual provider Active NPI Physical Therapist · Grand Island, NY
NPI 1164036232 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1164036232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 046022 (NY)
- Practice address
- 1801 Grand Island Blvd
Grand Island, NY 14072-2249 - Phone
- (716) 773-4323
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand Island Physical Therapy PC
Practice addresses (Care Compare)
100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 675-4444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201119001015 | NY | Practitioner - Physical Therapist in Private Practice | 1850702077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046022 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Island Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Locations
1801 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-4323
1491 Sheridan Dr
Tonawanda, NY 14217
Phone (716) 332-4476
100 Union Rd
West Seneca, NY 14224
Phone (716) 675-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046022 | NY | Yes |
Addresses
Primary practice location
1801 Grand Island Blvd
Grand Island, NY 14072-2249
Mailing address
116 Koester St
Buffalo, NY 14220-1446
Phone (716) 982-3653
Other practice location 1
100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 675-4444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046022 | Medicaid | NY |
Other providers in Grand Island, NY
- Hollis Ann Busch
- Andrea Buxton
- Michael Buziak
- Michael Joseph Calarco
- June Ann Campanella
- Carechoice Ny LLC
- Megan Elaine Carey
- Maria Casey
- Kahla Elizabeth Cerrillo
- Russell A Certo
All providers in Grand Island, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.