TLC Lymphedema and Physical Therapypllc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1156767 Issued in TX

Legal business name

TLC LYMPHEDEMA AND PHYSICAL THERAPYPLLC

Practice address

12606 Greenville Ave Ste 284
Dallas, TX 75243-1921

Phone

(469) 330-7762

Fax

(469) 330-7764

NPI assigned

Oct 27, 2006

Last updated

Aug 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Maria Arredondo, PTNPI 1235210030

Title

PT, Owner

Phone

(469) 330-7762

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Maria Arredondo, PT

  • Physical Therapist
  • Dallas, TX
  • NPI 1235210030
  NPD Authorized official
• Jessica Jutte Bertram, PT, DPT

  • Physical Therapist
  • Grapevine, TX
  • NPI 1942459953
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1194801670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 284",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "469-330-7762",
            "fax_number": "469-330-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE STE 284",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "469-330-7762",
            "fax_number": "469-330-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC LYMPHEDEMA AND PHYSICAL THERAPYPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "469-330-7762",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1156767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.