Tiffany Moy Harrison, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

105781 Issued in MN

Practice address

3960 Coon Rapids Blvd NW Ste 123
Coon Rapids, MN 55433-2521

Phone

(763) 236-7337

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1275016636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW STE 123",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW STE 123",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332521",
            "telephone_number": "763-236-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Commerce Drive",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "55125",
            "country_code": "US",
            "telephone_number": "651-424-4059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9120 Springbrook Dr NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554335845",
            "country_code": "US",
            "telephone_number": "763-233-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "TIFFANY",
        "middle_name": "MOY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105781",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "105781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyona Lynn Hardin
• Alexandra M Harper
• Patricia Ann Harper, MD
• Harrison Chiropractic
• Clare McGuire Harrison
• Makenna Harstad
• Robin Rachel Harstad, D.C.
• Peter James Hartwich, MS, LMFT
• Rabia Hasan
• Umbreen Hasan, MD

• Pediatric Occupational Therapist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.