Active NPI
Tiffany Nicole Ayasse, PT, DPT
- Physical Therapist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2020025067
- Practice address
- 7932 N Oak Trfy Ste 212
Kansas City, MO 64118-1424 - Phone
- (816) 420-8251
- Fax
- (816) 420-8207
- NPI assigned
- Nov 11, 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 | 2020025067 | MO | Primary |
Addresses
Primary practice location
7932 N Oak Trfy Ste 212
Kansas City, MO 64118-1424
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other names 1
- Tiffany Nicole Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201116002303 | MO | Practitioner - Physical Therapist in Private Practice | 8921419367 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051
109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280
7932 N Oak Trfy
Ste 212
Kansas City, MO 64118
Phone (816) 420-0286
220 NW Platte Valley Dr
Riverside, MO 64150
Phone (816) 505-3422
Organizations & group practices 3
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.
-
- Physical Therapist
- Belton, MO
- NPI 1760745244
MO, Physical Therapist
-
- Physical Therapist
- Overland Park, KS
- NPI 1790049195
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Serc Rebabilitation Partners, LLC
Practice addresses (Care Compare)
7932 N Oak Trfy
212 Serc Metro North
Kansas City, MO 64118-1424
Phone (816) 420-8251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1265034565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7932 N OAK TRFY STE 212",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641181424",
"telephone_number": "816-420-8251",
"fax_number": "816-420-8207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYASSE",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2020025067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "LEE",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.