Tiffany Sims Dale, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Clermont, GA
NPI 1255839072 · NPPES record last updated May 24, 2024
Key facts
- NPI
- 1255839072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT006940 (GA)
- Practice address
- 130 Main St
Clermont, GA 30527 - Phone
- (678) 616-3099
- Fax
- (770) 406-6840
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006940 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Pediatric Therapy of Gainesville LLC | Multi-Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | OT006940 | GA | Yes |
Addresses
Primary practice location
130 Main St
Clermont, GA 30527
Mailing address
2741 Quillians Dr
Gainesville, GA 30506-2885
Phone (678) 616-3099
Other providers in Clermont, GA
- Alyssa Brooksher
- Theda Burchardt
- James L. Cannon
- Lori Allyson Cantrell
- Amy Elaine Crawford
- Ashlyn English
- Nancy Elizabeth Fisher
- Elizabeth Hayse
- Allison Hicks
- Alyssa Claire Jackson
All providers in Clermont, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.