Individual provider Active NPI

Troy Timothy Tigges, PT

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1174243000
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6195 Issued in NM
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

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT6195OtherNMNM PT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 21 clinicians

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

LicenseStateTypeSpecialty
PT6195NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sport and Spine Center Inc Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Real View Diagnostics LLC Physical Therapist PastSince Aug 22, 2022 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.

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.

Verify at the official NPI Registry.