Active NPI
Tiffanie Gomez
- Physical Therapist
- Houston, TX
National Provider Identifier
1225661994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1210726
- Practice address
- 10907 East Fwy
Houston, TX 77029-1911 - Phone
- (713) 674-2573
- NPI assigned
- Feb 20, 2020
- Last updated
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 1210726 | TX | Primary |
Addresses
Primary practice location
10907 East Fwy
Houston, TX 77029-1911
Mailing address
10907 East Fwy
Houston, TX 77029-1911
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1210726 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1225661994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10907 EAST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770291911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10907 EAST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770291911",
"telephone_number": "713-674-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "TIFFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1210726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.