Active NPI
Troy Timothy Tigges, PT
- Physical Therapist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6195
- Practice address
- 1181 Mall Dr Ste C
Las Cruces, NM 88011-8105 - Phone
- (575) 522-0766
- Fax
- (575) 521-3668
- NPI assigned
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6195 | NM | Primary |
Addresses
Primary practice location
1181 Mall Dr Ste C
Las Cruces, NM 88011-8105
Mailing address
2404 S Locust St Ste 5
Las Cruces, NM 88001-5789
Phone (575) 521-4188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT6195 | Other | NM | NM PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220928002569 | NM | Practitioner - Physical Therapist in Private Practice | 7911383922 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Sport and Spine Center Inc
Practice addresses (Care Compare)
1181 Mall Dr
Suite C
Las Cruces, NM 88011-8105
Phone (575) 522-0766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6195 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Sport and Spine Center Inc | Physical Therapist | Current | Accepting new patients |
| Real View Diagnostics LLC | Physical Therapist | Past | Accepting new patients |
Locations
1181 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (575) 522-0766
1181 Mall Dr
Las Cruces, NM 88011
Phone (505) 521-1111
2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Las Cruces, NM
- NPI 1164475208
NM, Physical Therapist
-
- Physical Therapist
- Canutillo, TX
- NPI 1336882026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1174243000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 S LOCUST ST STE 5",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015789",
"telephone_number": "575-521-4188",
"fax_number": "575-521-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 MALL DR STE C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118105",
"telephone_number": "575-522-0766",
"fax_number": "575-521-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGGES",
"first_name": "TROY",
"middle_name": "TIMOTHY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT6195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM PT LICENSE",
"identifier": "PT6195",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.