Tiffany Junette Sparks-Keeney, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60042449 Issued in WA

Practice address

3600 Lind Ave SW
Ste 160
Renton, WA 98057-4934

Phone

(425) 656-4215

Fax

(425) 656-5075

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Junette Sparks Former name

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1205062486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "STE 160",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574934",
            "telephone_number": "425-656-4215",
            "fax_number": "425-656-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "STE 160",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574934",
            "telephone_number": "425-656-4215",
            "fax_number": "425-656-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS-KEENEY",
        "first_name": "TIFFANY",
        "middle_name": "JUNETTE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60042449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SPARKS",
            "middle_name": "JUNETTE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southwest 2ND Street Healthcare LLC (Renton Health & Rehabilitation)
• Marieme Sow
• Space for Grief
• Peter Spairring, L.M.P.
• Joshua V Spangenberg, LMP
• Angela Jeanette Sparks, M.D.
• Sylvia A Spearman, PT
• Leah C Spellen, N.D
• Concetta Spence
• Melissa J Spencer, ARNP, PMHNP-BC

• Occupational Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.