Dustin Titcomb

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11711PT Issued in AZ

Practice address

715 N Beaver St Unit C
Flagstaff, AZ 86001-3141

Phone

(928) 224-2847

Fax

(928) 249-3120

NPI assigned

May 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aligned Life PLLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1093580987

  AZ, Physical Therapist

  Medicare reassignment NPD Authorized official
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
  • NPI 1073583472
  NPD
• North Country Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Show Low, AZ
  • NPI 1073740098
  NPD

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1275912784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N BEAVER ST UNIT C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013141",
            "telephone_number": "928-224-2847",
            "fax_number": "928-249-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N BEAVER ST UNIT C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013141",
            "telephone_number": "928-224-2847",
            "fax_number": "928-249-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITCOMB",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "11711PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46855",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Timoh
• Kirsten Tinning
• Kimberly Kay Tinsman, CD(DONA)
• Ryan Tiscareno, BS
• Pilar Tisker, L.AC
• Kelly Elizabeth Titus, M.S., CCC-SLP
• Misty Titus, RN
• Rachelle M Tognacci, D.O.
• Karasu Joshua Tokioka
• Craig Wallis Tolleson, MD

• All providers in Flagstaff, AZ
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.

Verify at the official NPI Registry.