Active NPI
Tiffany Susan Virag, DPT
- Physical Therapist
- Madison, WI
National Provider Identifier
1285859405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10862-24
- Practice address
- 44 E Mifflin St
Suite 10
Madison, WI 53703-4205 - Phone
- (608) 957-7088
- NPI assigned
- Apr 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011385 | OH | |
| Physical Therapist | 225100000X | 1760332 | MI | |
| Physical Therapist | 225100000X | 10862-24 | WI | Primary |
Addresses
Primary practice location
44 E Mifflin St
Suite 10
Madison, WI 53703-4205
Mailing address
44 E Mifflin St
Suite 10
Madison, WI 53703-4205
Phone (608) 957-7088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TVIRAG | Medicaid | OH | |
| TVIRAG | Medicaid | MI | |
| 1285859405 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1760332 | MI | MD | Physical Therapist |
| 011385 | OH | MD | Physical Therapist |
| 10862-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Physical Therapy & Consulting, LLC | Physical Therapist | Current | Accepting new patients |
| Ampt Advanced Manual Physical Therapy Specialty PT Clinics, LLC | Past | Accepting new patients | |
| Ampt Advanced Manual Physical Therapy Specialty PT Clinics, Inc. | Past | Accepting new patients |
Locations
100 Wisconsin Ave
Ste 101
Madison, WI 53703
Phone (608) 957-7088
44 E Mifflin St
Ste 10
Madison, WI 53703
Phone (608) 957-7088
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
- Madison, WI
- NPI 1255828034
-
- Physical Therapy Clinic/Center
- Monona, WI
- NPI 1407977002
-
- Orthopedic Physical Therapist
- Indianapolis, IN
- NPI 1285819664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1285859405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 E MIFFLIN ST",
"address_2": "SUITE 10",
"city": "MADISON",
"state": "WI",
"postal_code": "537034205",
"telephone_number": "608-957-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 E MIFFLIN ST",
"address_2": "SUITE 10",
"city": "MADISON",
"state": "WI",
"postal_code": "537034205",
"telephone_number": "608-957-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRAG",
"first_name": "TIFFANY",
"middle_name": "SUSAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "011385",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "1760332",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10862-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TVIRAG",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TVIRAG",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285859405",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.