Tiffany Keough

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

23066601342 Issued in VA

Practice address

46555 Harry Byrd Hwy
Sterling, VA 20164-3567

Phone

(703) 421-6406

Fax

(703) 421-6839

NPI assigned

Sep 23, 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

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1194194829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46555 HARRY BYRD HWY",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201643567",
            "telephone_number": "703-421-6406",
            "fax_number": "703-421-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46555 HARRY BYRD HWY",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201643567",
            "telephone_number": "703-421-6406",
            "fax_number": "703-421-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "23066601342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Kazemian, MA, LPC
• Gwendolyn Kearney
• Fabiann Keating
• Brian John Kelly, M.D.
• Katelyn Elliott Kelly, MA
• Melissa D Kern, MD
• Aris Keshishian
• Maira Khalid
• Imran A Khan, M.D.
• Sadaf Khan, LCSW

• Physical Therapy Assistant in Sterling, VA
• Providers in Sterling, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.