Individual provider Active NPI

Tiffany A. Loewe, OT

  • Occupational Therapist
  • Pelham, AL
National Provider Identifier
1215993126
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13760 Issued in FL
Practice address
120 Cahaba Valley Pkwy
Ste 100
Pelham, AL 35124-1185
Phone
(205) 909-2540
Fax
(205) 682-3612
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004304 GA
Occupational Therapist 225X00000X 3802 AL
Occupational Therapist 225X00000X OT13760 FL Primary

Addresses

Primary practice location

120 Cahaba Valley Pkwy
Ste 100
Pelham, AL 35124-1185

Mailing address

3568 Clark Rd
Sarasota, FL 34231-8408
Phone (941) 924-8868

Other identifiers 1

IdentifierTypeStateIssuer
1780980540OtherALGROUP NPI

Other names 1

  • Tiffany Bernholt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150716000564 AL Practitioner - Occupational Therapist in Private Practice 9830141704 Reassigns benefits to 2 organizations
I20180212001074 FL Practitioner - Occupational Therapist in Private Practice 9830141704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Wicks in-House Gulfcoast Therapy PLLCGroup PAC ID 8628513520, 3 clinicians
Gulfcoast Physical Therapy and Performance Center IncGroup PAC ID 3779576806, 3 clinicians

Practice addresses (Care Compare)

Sarasota, FL 34232
Phone (941) 544-8933

3568 Clark Rd
Sarasota, FL 34231-8408
Phone (941) 924-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3802ALMDGeneral Practice Dentistry
OT13760FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Musculoskeletal Institute Chartered CurrentSince Mar 9, 2021 Accepting new patients
Gulfcoast Physical Therapy and Performance Center Inc CurrentSince Jan 8, 2018 Accepting new patients
Wicks in-House Gulfcoast Therapy PLLC CurrentSince Dec 5, 2025 Accepting new patients
Therapysouth Chelsea CurrentSince Sep 23, 2017 Accepting new patients
Therapy South Pell City, LLC Occupational Therapist CurrentSince Aug 1, 2017 Accepting new patients
Orthotennessee, PC Past Accepting new patients
Peachtree Orthopaedic Clinic PA Occupational Therapist Past Accepting new patients
Therapy South LLC Fultondale Past Accepting new patients
Alliance Healthcare Services of Georgia, Inc Past Accepting new patients
Orthotennessee Past Accepting new patients
Neurology Neurodiagnostic Lab LLC PastSince Mar 1, 2004 Accepting new patients
Hovis Orthopaedic Clinic PC Past Accepting new patients

Locations

100 Chelsea Corners Way
Ste 101
Chelsea, AL 35043
Phone (205) 678-7272

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

85 Plaza Dr
Pell City, AL 35125
Phone (205) 338-6016

11286 Boyette Rd
Ste 101
Riverview, FL 33569

3568 Clark Rd
Sarasota, FL 34231
Phone (941) 544-8933

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1215993126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3568 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318408",
            "telephone_number": "941-924-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY",
            "address_2": "STE 100",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241185",
            "telephone_number": "205-909-2540",
            "fax_number": "205-682-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWE",
        "first_name": "TIFFANY",
        "middle_name": "A.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004304",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3802",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780980540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BERNHOLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.