Jennifer Tippmann, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27423 Issued in FL

Practice address

3110 Mallard Cove LN
Fort Wayne, IN 46804-2882

Phone

(260) 431-8198

Fax

(260) 755-0475

NPI assigned

Feb 17, 2015

Reactivated

Oct 30, 2019

Last updated

Oct 30, 2019By 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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tippmann Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Fort Wayne, IN
  • NPI 1831740117
  Authorized official Same address or phone
• Jennifer Tippmann, LLC

  • Physical Therapy Clinic/Center
  • Fort Pierce, FL
  • NPI 1477957975
  NPD (past) Authorized official

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1245621929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-431-8198",
            "fax_number": "260-755-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 MALLARD COVE LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042882",
            "telephone_number": "260-431-8198",
            "fax_number": "260-755-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPMANN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2019-10-30",
        "deactivation_date": "2019-09-26",
        "reactivation_date": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Tinkler, ATC/L
• Elizabeth Tinnel
• Daniel W Tinsley, PA-C
• Stephanie Ann Tippin, RN, MSN, FNP-C
• Tippmann Physical Therapy, LLC
• Stephanie Tippmann
• Lauren Tirey, OTR
• Laura K Tirpak, PA
• Clifton Paul Titcomb Jr., M.D.
• Mary Emily Titcomb, PNP

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.