Active NPI
Tiffany Melton, PT, DPT
- Physical Therapist
- Conway, AR
National Provider Identifier
1235307364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 3050
- Practice address
- 385 Highway 65 N
Conway, AR 72032-3506 - Phone
- (817) 688-5865
- NPI assigned
- Feb 12, 2008
- 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 | PT 3050 | AR | Primary |
Addresses
Primary practice location
385 Highway 65 N
Conway, AR 72032-3506
Mailing address
615 Farris Rd
Conway, AR 72034-4904
Phone (501) 733-3112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166894721 | Medicaid | AR |
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 |
|---|---|---|---|
| PT 3050 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennemetrics LLC | Physical Therapist | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Past | Accepting new patients | |
| Milestones Services, Inc. | Past | Accepting new patients | |
| University of Arkansas for Medical Sciences | Past | Accepting new patients | |
| KNM Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
385 Highway 65 N
Conway, AR 72032
Phone (501) 697-9881
Organizations & group practices 5
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.
-
- Developmentally Disabled Services Day Training Agency
- Conway, AR
- NPI 1366522039
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1235307364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 FARRIS RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720344904",
"telephone_number": "501-733-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 HIGHWAY 65 N",
"city": "CONWAY",
"state": "AR",
"postal_code": "720323506",
"telephone_number": "817-688-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 3050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166894721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.