Active NPI
Treca Diane Tipton, PT
- Physical Therapist
- Claremont, CA
National Provider Identifier
1215084496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32957
- Practice address
- 928 W Foothill Blvd
Claremont, CA 91711-3303 - Phone
- (909) 447-5724
- Fax
- (909) 447-5734
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 32957 | CA | Primary |
Addresses
Primary practice location
928 W Foothill Blvd
Claremont, CA 91711-3303
Mailing address
928 W Foothill Blvd
Claremont, CA 91711-3303
Phone (909) 447-5724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 619 | OK | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Baptist Medical Center, Inc | Past | Accepting new patients | |
| Regional Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Fortanasce & Associates Sports Medicine and Physical Therapy | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Rehabilitation Hospital Unit
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- NPI 1831663657
-
- Physical Therapist
- Midwest City, OK
- NPI 1336167204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1215084496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 W FOOTHILL BLVD",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113303",
"telephone_number": "909-447-5724",
"fax_number": "909-447-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 W FOOTHILL BLVD",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113303",
"telephone_number": "909-447-5724",
"fax_number": "909-447-5734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "TRECA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.